Lymph Nodes

Question 1

How can you examine ‘matted’ T.B. L.Ns?

Answer 1

Hold 2 adjacent L.Ns, one on each hand than move them in opposite directions they never separated.

Question 2

What is the cause of ‘Rosary beads’?

Answer 2

Lymphangitis + lymphadenittis

Question 3

• What is the surgical importance of supraclavicular L.Ns?

Answer 3

علي حسب مكانها
A- Lt. supra-clavicular L.Ns:
* Below diaphragm (Cancer stomach, cancer colon & hypernephroma)
* Above diaphragm (Lt. cancer breast & Lt. bronchial carcinoma)
B-Rt. Supra-clavicular L.Ns:
* Below (Bare area of liver only).
* Above (Rt. cancer breast only).

Question 4

How can you DD between submandibular gland & L.Ns?

Answer 4

Submandibular L.Ns only rolled on lower border of mandible.

Question 5

How can you DD between parotid gland & L.Ns?

Answer 5

It is very difficult so Biopsy must be done

Question 6

What is the value of occipital L.Ns enlargement?

Answer 6

Enlarged with IMN (glandular fever)
* Spinal accessory L.Ns enlarged with pediculosis & frunculosis.
* Jugulo-omohyoid L.Ns enlarged with Cancer tongue.
* Jugulo-digastric L.Ns enlarged with tonsiller diseases “tonsiller L.Ns”

Question 7

What is the value of epitrochlear L.Ns enlargement?

Answer 7

Enlarged with 2ry syphilis

Question 8

Which LN enlargement means Generalized lymphadenopathy?

Answer 8

• Epi-trochlear LN (above medial epicondyle of humerus)

Question 9

Which LN could be examined by stethoscope?

Answer 9

• Interbronchial LN (D’spine sign in chest)