The lymphatic system is examined by inspection and palpation, region by region, during the examination of other body systems, as well as with palpation of the spleen.
Lymph Nodes Most Accessible to Inspection and Palpation
The more superficial the node, the more accessible it is to your palpation.
“Necklace” of Nodes
Parotid and retropharyngeal (tonsillar)
Submandibular
Submental
Sublingual (facial)
Superficial anterior cervical
Superficial posterior cervical
Preauricular and postauricular
Occipital
Supraclavicular
Arms
Axillary
Epitrochlear (cubital)
Legs
Superficial superior inguinal
Superficial inferior inguinal
Occasionally, popliteal
TECHNIQUE
FINDINGS
HEAD AND NECK
Inspect visible nodes
Ask if patient is aware of any lumps.
UNEXPECTED:Edema, erythema, red streaks, or lesions.