Lymphoreticular Examination

Introduction0/7

• Greetings
• Hand wash
• Verify the patient's identity
• Explanation of the examination
• Obtain consent
• Position patient at 45° on bed
• Adequately expose patient

General Inspection0/5

• Look for signs of cachexia
• Check for swelling (hepatosplenomegaly)
• Assess for pallor
• Note any skin changes
• Look for bruising

Hands0/5

• Check for koilonychia
• Look for signs of Raynaud's phenomenon
• Check for digital infarction
• Look for purpura and petechiae
• Assess palmar crease for pallor

• Palpate epitrochlear lymph nodesFlex elbow to 90°, palpate above medial epicondyle
• Examine axillary lymph nodesPalpate all groups: pectoral, central, subscapular, lateral, apical

Head Examination0/2

• Examine eyesCheck for jaundice, hemorrhages, redness, conjunctival pallor
• Examine mouthLook for gum hypertrophy, ulcers, hemorrhages, atrophic glossitis

• Palpate cervical lymph nodesInclude submental, submandibular, tonsillar, parotid, pre/post-auricular, occipital, superficial/deep cervical, supraclavicular

Abdominal Examination0/4

• Inspect for petechiae, purpura, bruising, ulcers, distention
• Palpate abdomen
• Palpate for liver enlargement
• Palpate for spleen enlargement

• Palpate inguinal lymph nodesPalpate horizontal and vertical groups

Conclusion0/2

• Summarize findings
• Suggest further tests if neededConsider FBC, ultrasound if indicated