Examination of Lymph Nodes of Neck - Clinical OSCE - Dr Gill

Dr James Gill
Dr James Gill
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Published 2022-06-10
Lymph Node Clinical Examination - Lymphoreticular OSCE - Clinical Skills - Dr Gill

The clinical examination of the head and neck lymph nodes is often the first clinical skills session that new medical students encounter and is a common examination station in medical school OSCEs

Most people will be familiar with the concept of having "raised glands" when they have a sore throat. This is not actually a raised "gland" but is due to enlargement of the lymph nodes of the neck as a result of the immune system reacting to facilitate the immune response to the infection.

Lymph nodes are exactly that, nodes on the network of the lymphatic system that allows the main immune system to react and to focus resources where they are needed within the body.

This lymphoreticular examination covers lymph nodes in the following regions:

- Submental
- Submandibular
- Parotid and tonsilar
- Pre-and post auricular

- Deep, superficial and posterior cervical chains

- Occipital
- Supraclavicular

- Axillary
- Epitrochlear nodes

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Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.

However during OSCE assessments. Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.

The examination demonstrated here is derived from Macleods Clinical Examination - a recognised standard textbook for clinical skills.

Some people viewing this medical examination video may experience an ASMR effect


#DrGill #Lymphnodes #ClinicalSkills

You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/video-consultation/

00:00 - Patient Verification and Consent
00:42 - Neck Examination
01:46 - Arm Examination
02:21 - Armpit Examination
03:15 - Conclusion
All Comments (21)
  • @OutgrownThings
    This video is all the evidence we need to confirm Dr Gill is the best ASMR doctor in the world. It just doesn’t get more intense than the ASMR in this.
  • @starfishgurl1984
    This is so important yet often overlooked sometimes I feel like, in their late 20’s a former classmate of mine with no risk factors/family history was diagnosed with a fast moving breast cancer that had begun spreading to their lymph nodes and this kind of exam helped to identify it and get them the treatment they needed in time to go into remission and be declared cancer free. It’s amazing the power these exams can have!
  • @havefunoutthere6378
    As someone who has had thyroid cancer spread to my lymphnods, I can really appreciate this video. I had a lot of attention placed on my neck's lymphnods, and i can tell you from first-hand experience that it was worth it. Great video!
  • @idetailnorthwest
    Educational ASMR. Simply the best content. Thank you, Dr. Gill.
  • @tavitafish
    All these videos are an absolute double whammy for me because Ive always had a hard time knowing what the doctors talking about and because my younger brother plans on doing something medical related when he graduates high school, so I send these to him from time to time
  • @markwhite1213
    I can't get enough of these videos. I guess that makes me a lymphomaniac...
  • @brittanycandace5112
    Have you considered going more in depth? For example when doing a lymph node examination explaining why you are pressing on certain parts or what the more in-depth reasoning behind certain areas of the body?
  • @justindesnoyers4105
    "I'm going to step behind you, tap you on your right shoulder then quickly move to your left side so when you look no one is there. Then we'll have a good laugh"
  • @michelp7159
    Just wondering dr Gill... did you ever had a testsubject where you noticed that he or she actually did had a problem that they were not aware of?
  • @scottjolteon9033
    Great video man, that was relaxing, though this makes be a bit anxious because lots of my lymph nodes are making lumps, we've checked a lot of them wirh my doctor a few times ago but I have an appointment scheduled cause I feel like more and more are appearing .. Hope this goes well and it's as relaxing as this one lol
  • @Hardcoreatheists41
    Neck and shoulder examination on top of his soothing voice is so relaxing.