Lymph Nodes

Front 1

If the thyroid gland is enlarged bilaterally, what maneuver is appropriate?

Back 1

listen for bruits over the thyroid lobes

Front 2

It is normal to palpate a few lymph nodes in the neck of a healthy person. What are the characteristics of these nodes?

Back 2

mobile, soft, and tender

Front 3

The isthmus of the thyroid gland lies just below the:

Back 3

cricoid cartilage

Front 4

Normal cervical lymph nodes are:

Back 4

smaller than 1 cm

Front 5

Preauricular lymph nodes are located:

Back 5

in front of the ear

Front 6

Posterior auricular lymph nodes are located:

Back 6

superficial to the mastoid process

Front 7

Occipital lymph nodes are located:

Back 7

at the base of the skull

Front 8

Submental lymph nodes are located:

Back 8

behind the tip of the mandible

Front 9

Jugulodigastric lymph nodes are located:

Back 9

under the angle of the mandilbe

Front 10

Superficial cervical lymph nodes are located:

Back 10

overlying the sternomastoid muscle

Front 11

Deep cervical lymph nodes are located:

Back 11

deep under the the sternomastoid muscle

Front 12

Posterior cervical lymph nodes are located:

Back 12

in the posterior triangle along the edge of the trapezius muscle

Front 13

Supraclavicular lymph nodes are located:

Back 13

above and behind the clavicle

Front 14

hyperthyroidism

Back 14

Most common sign-Tachycardia

symptoms of diarrhea, anxiety, fever, fatigue, weight loss, palpitations, rapid pulse, heat intolerance, fine, limp hair, diaphoresis, muscle weakness

Grave's disease (goiter, bulging eyes)

Front 15

hypothyroidism

Back 15

symptoms of fatigue, anorexia, cold intolerance, dry skin, brittle, coarse hair, menstrual irregularities, weight gain or difficulty losing weight, decreased libido

Front 16

if lymphnodes are palpable describe the following

Back 16

size, consistency, mobility, delimitation

Front 17

require emergency investigation if

Back 17

lymphatics larger than 1 cm, fixed, irregular, or hard or rubbery
hyperthyroidism with symptoms of hypermetabolosm in all systems

Front 18

malignant lumph nodes

Back 18

non-tender, hard, fixed

Front 19

lymphadenopathy

Back 19

palpable nodes in 3 or more chain

Front 20

indicator of thyroid problems

Back 20

fatigue, weight problems, skin problems, difficulty sleeping, difficult temp regulations

Front 21

if thyroid is englarged...

Back 21

ascultate over each lobe for a bruit using the bell

Front 22

normal lyphnode

Back 22

non-palpable, "shotty" small <1 cm, mobile, non-tender

Front 23

test of thyroid function

Back 23

performed on patients of any age presenting signs or symptoms of hyperthyroidism or hypothyroidism, usually TSh, T3, T4 are measured

Front 24

Which direction do the head/neck lymph nodes drain

Back 24

mostly in a generally inferior direction

Front 25

What is the thyroid gland?

where is the thyroid gland?

Back 25

an endocrine gland that secretes hormones (T3 and T4) that control rates of metabolism.

straddles trachea in middle of neck

Front 26

If a lymph node is swollen what area should you explore?

Back 26

area proximal (upstream) to that lymph node(s)

Front 27

purpose of the lymph nodes

Back 27

filter lymph and engulf pathogens, preventing harmful substances from entering circulation

Front 28

signs that a lymph node is cancerous

Back 28

unilateral, hard, , >3cm, nontender, matted and fixed

Front 29

in chronic inflammation, lymph nodes are usually _______

Back 29

clumped

Front 30

Which lymph nodes are commonly enlarged in HIV?

Back 30

occipital

Front 31

Nodes are located throughout the body but only accessible for examination in what four areas?

Back 31

head and neck
arms
axillae
groin

Front 32

where is the greatest supply of lymph nodes?

Back 32

head and neck

Front 33

Describe location of majority of the head/neck lymph nodes

Back 33

Front 34

Pattern when examining lymph nodes

Back 34

preauricular
posterior auricular
occipital
submental
submandibulal
tonsilar
anterior cervical chain
posterior cervial chain
supraclavivular

Use pads of 2nd, 3rd, 4th finger, gently palpate in circles

Front 35

Thyroid Hormone Levels

Back 35

TSH, T3, T4