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

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/...
00:00 - Patient Verification and Consent
00:42 - Neck Examination
01:46 - Arm Examination
02:21 - Armpit Examination
03:15 - Conclusion

[@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.

[@rxiphias923]

He is good but watch: Cranial Nerve Examination Example from Neuro PACES, it's even better

[@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!

[@DrJamesGill]

Thanks for sharing! I hope you are well now?

[@havefunoutthere6378]

@DrJamesGill After an 11 hour surgery, 3 radio-active ablations and 2 reoccurrences, today (20 years later), I'm doing great (knock on Woody). Thank you for asking, and again, great GREAT content.

[@fumiyafuse6374]

​@@havefunoutthere6378 your lucky sir

[@brandonthompson1888]

I need this to be longer!!! Instant tingles… pure ASMR!

[@lindar5413]

I agree! Please ,Dr.Gill

[@surfboardjoker6299]

If your on PC you can right click the screen and loop the video, idk if you can on mobile though : /

[@mariapope3351]

On mobile it’s the 3 little dots at top of screen

[@MrNodnarbius]

I don't think most of us could actually HANDLE it being any longer.

[@islaadele1212]

Pro tip: adjust the playback speed.

[@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

[@jeremysladek6623]

My friend, YOU are the Bob Ross of doctors.

[@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?

[@SuppressWarning]

Up

[@contentviewer4795]

@@SuppressWarning down

[@Animeherokamina]

My best guess is he interviews them before the exam and if they do have something he probably recommends them to their own doctor since already have their prior medical history

[@gearyofwar]

Check out the shoulder deep dive

[@DrJamesGill]

Yes, we didn’t expect that! But normally the students have no issues, as we need to train on “normal” so that any problem is much more noticeable to us clinically

[@don-iidra4975]

This is PURE ASMR !!! Love it

[@dscarmo]

It is still not clear to me if Dr Gill likes the ASMR crowd or if he just puts up with them because of the views

[@don-iidra4975]

@@dscarmo i think both😂

[@meowal1192]

No, this is hybrid education and ASMR! Love it.

[@panayiotissavvas]

Thank you Dr. for another perfectly pure video.

[@violistanton]

1:41... I need a 1 hour loop of this. What a voice.

[@sketchlehem]

Congrats on 120K Dr Gill!

[@markwhite1213]

I can't get enough of these videos. I guess that makes me a lymphomaniac...

[@alexiswrittenberry3603]

Thank you Dr. Gill! Clinical knowledge and ASMR all in one video!

[@gabrielesimionato1210]

This exam is one of my favourites

[@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?

[@DrJamesGill]

That will be filmed in the next coming weeks 😊 I’m doing the demo The deep dive & anatomy

[@gabrielesimionato1210]

If I my add my 2 cents: I understand this is done for teaching purposes, but addressing the public would spoil the ASMR effect, because the focus is moved from the patient to the audience POW. I think that people who follow mr Gill for asmr, just like to "peek in" how an exam is done. But this is just my opinion and my feeling, so feel free to discard it.

[@MisterTipp]

I've been trying to find these nodes on myself but I have no clue what they are supposed to feel like, and I haven't been able find anything. What should they feel like, and what does it mean if you find them/not find them?

[@rhaehodges]

And certain nodes react to different parts of the body right?

[@charmingresignation]

@@MisterTipp it’s good that you can’t feel them! Most lymph nodes are not palpable unless they’re swollen, and swollen lymph nodes are often a sign of infection or (sometimes) a cancer.

[@masterofcheese0073]

This is great, I wish all doctors explained as they checked.

[@NegotiableHemingway]

A Dr Gill upload at this time of the night? He knows!

[@sam__vieira]

He knows!

[@antm2296]

He knows but he never directly acknowledges the ASMR. The videos are primarily for the medical preparation for students but in his heart he knows he’s reaching out to us ASMR lot!

[@Kahalasama]

I like that he's a real doctor conducting an exam and not an 18 year old girl whispering.

[@guesswhat-chickenbutt]

Or tapping.

[@Hardcoreatheists41]

Neck and shoulder examination on top of his soothing voice is so relaxing.

[@ronreed0421]

dr gill is the best!

[@JoeTom86]

Really smart and I love the more angular ends

[@annb2045]

Excellent video!

[@oriol-borismonjofarre6114]

That was amaaaaazing!

[@Speedball57]

What a good teacher!

[@I666U]

cool upload Dr. G, TY !

[@chuckoneill2023]

This is one of the most relaxing videos I've seen from Dr. Gill -- also extra educational -- I've learned about lymph nodes I never knew I had. Do all the nodes serve the same purpose, or are some more specialized?

[@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

[@kittybala7951]

Great video

[@hbbwesn6872]

Dr James you are amazing teacher especially for med students like me , can you make videos for med students like how should they study , what are the ways for studying with yieldly

[@guesswhat-chickenbutt]

The master of the tingles. We love you Dr. Gill!!!

[@reasb18]

Great video 🙏🏽

[@kittymervine6115]

Thank you, as too often a doctor will be pressing all over and I'm not always sure what they are looking at or for....plus the dental assistant does this sometimes. Finally I asked one, what was she looking for and she explained about lymph nodes. I thought that was pretty neat, that they do more than just clean teeth.

[@DrJamesGill]

It makes life so much easier when you understand what is going on We’ll be doing a more in-depth review of lymph nodes in a few weeks

[@Myeternalperspective]

1 for diabetes, 1 for high blood pressure - 2 for high blood pressure, 1 for thyroid.

[@DrJamesGill]

??

[@panchitop2909]

No bananas for you yet

[@ianmcklatchie4390]

I'm stunned that the morning TV shows aren't begging at Dr Gill's door, for him to appear on their shows! We should all hope to, one day, have a doctor like this!

[@the1703]

Dr james is the best

[@heartqueen0535]

Hello Dr Gill, I love your videos so much! And i watch your videos every single days. I think your are brings good lessons us. I hope you read this comment. It's okay when you are not replying. Or what ever...

[@DrJamesGill]

I’d glad you find them useful. In doing them, I’ve realised some of the things I struggled with at uni, were because I’m a visual learner. So trying to recreate the resource I would have wanted

[@ethantompkins5929]

You should do a video where something is "wrong" during the examination and how to help

[@No1SlapFIGHTFan]

Perfect ASMR

[@marcjacobsjackson7223]

My muscles would be always nice and relaxed for Dr. Gill

[@alandaviddawkins567]

Classic Dr Gill cut. ASMR lord is back.

[@KudoBoii]

Fell asleep after 2 min. Thanks Doc 💜

[@willn8664]

I feel like I could get a Ph D with all the knowledge I'm getting from Dr Gill's videos.

[@richierich8334]

Obtaining a PhD is the result of finding new knowledge, not using previously known information.

[@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"

[@joeparks3748]

As I’m sure you are aware people find these relaxing to watch for non medical or educational reasons. The term ASMR is often used. I had thought (until these videos became ubiquitous) that I was the only one that enjoyed medical and eye exams, haircuts etc. What do you think is the reason so many people enjoy these? Is the human race not getting enough physical interactions where we are touched?

[@Zanyotaku]

I get a soothing asmr as I take a quick break between classes, and now my abdominal pain is greatly reduced and I feel calmer, but also I'm observing some clinical skills, oho I'm getting two birds with one video.

[@DrJamesGill]

Where are you studying? Glad these are helpful

[@Zanyotaku]

@@DrJamesGill I’m in nursing school and we were doing the head and neck and cardiac assessments clinical skills last week, which included lots of videos you already made. It helps me a lot to see how it’s done visually rather than reading off a paper and glancing back at the professor intermittently. Your flow is very nice.

[@DrJamesGill]

That’s interesting, where are you studying?

[@SevenEllen]

Dr. Gill's way of speaking alone lowers blood pressure. :-)

[@davyyyy1782]

sim, hora de dormir vendo video médicos como descobriu?

[@span4155]

bro is trying so hard not to laugh

[@missy1525]

This is not related at all to the video, but I just want to say that I've finally graduated high school!!! Then in the fall I'm going to take my EMR (emergency medical responder) because I want to become a paramedic

[@DrJamesGill]

👍👍 excellent !! Good luck on the EMR course!

[@JustOneEarth]

Super.

[@redroselace9545]

I'm binging his videos asmr gold

[@DrJamesGill]

As long as you are learning I’m happy 😊

[@roovioroovio1009]

I've had lymph node exams over the years but they only checked under the mandible is this common or should they have done the other checks?

[@DrJamesGill]

It entirely depends what is being assessed for

[@ReeceMedcalf92]

If someone had particular injuries to areas where the assessment takes place does this affect the assessment? Just curious? Thank you for the video.

[@DrJamesGill]

Depends on the injury.

[@derperderp9036]

What if you actually feel the lymph nodes are hard or rubbery?

[@cameronmcphee6827]

Dr Gill would it be possible for you to make a video on Degenerative Disc Disease for the t11 and t12 I was diagnosed with it last year along with Kyphosis, scoliosis and DDD in my left hip and pelvis I'm only 22 it all started at 18 and I still don't understand it

[@kazuhiramiller1996]

Sometimes when I have a migrane there are exactly two points on the back of my lower skull. And it eases the pain when I or somebody else massages these two points. Now I see that these two points are in the exact same spot as two of the lymph nodes you have shown. Is there a medical explanation that lymph nodes can be a trigger or symptom for a migrane?

[@DrJamesGill]

It’s more likely that you are pressing on the nuchal line on the back of skull, or the external occipital protuberance This is where a number a muscles insert, and it may be than pressing over that area improves a tension in the muscle that was trigger the headache But certainly chat your doctor. A physio might be able to assist

[@Zenas469]

I have some kind of lumps on my legs, is it okay or i should get it checked?

[@annalie.love27]

According to the closed captioning the patient's name is Harvest Alby

[@PolishedMissy]

That’s grand 🥰🇮🇪☘️

[@mochiboy7750]

Does he have scarring or a tanline on his left wrist?

[@batpazzaia]

Quite funny to see this in my recommended as I had one this morning lol

[@DrJamesGill]

Hopefully all is ok?

[@batpazzaia]

@@DrJamesGill I had pharyngitis so nothing major :)

[@BuyaniMchunu]

How is the patient still awake doc ?

[@hugheszie]

Question, why wear gloves for the armpits only? I’m guessing the answer is fairly obvious, due to sweat glands etc?

[@DrJamesGill]

👍

[@dante666jt]

Hey doc, could you do an hour long neurological test? Thanks in advance!

[@vigilante2834]

question, what may be the reason for the increase in all groups of lymph nodes (submandibular, cervical, occipital, axillary, inguinal, supraclavicular). they have been enlarged for a very long time, about 3-4 years, they are very hard and painless. I am 18 y.o, Iive in small city in Ukraine and dont have the opportunity to get to the right doctor, I will be very grateful if I get an answer. thanks 4 videos

[@DrJamesGill]

There could be several reasons I’m sorry to say that you need to get checked to get more information

[@vigilante2834]

@@DrJamesGill ok anyway thank you. i think my case is very rare cause i can't find same cases of other people and any info in internet besides lymph cancer

[@P-2.1.5]

Mine too

[@reena7856]

​@@vigilante2834hi did u check?

[@willcoxn463]

What health complaint would you have to require an exam like this?

[@DrJamesGill]

Night sweats, tooth ache, weight loss, sore throat, cough, so many things. It’s such a basic part of examination it’s normally week 2 at medical school.

[@Edmund._.Dantes]

When checking under the armpit how can you tell the difference between a swollen lymph node and an abscess?

[@DrJamesGill]

Swollen lymph nodes are not hot, red, or possibly fluctuatant as you may see with an abscess.

[@Edmund._.Dantes]

@@DrJamesGill thank you for your response! This was very helpful

[@SousChef1234]

Where is your regular assistant David Dorson?

[@SighsInternally]

After hearing "lumps or bumps" for the thousandth time, I need to know, is there actually a medical distinction between these two words or are people basically saying the same word twice?

[@DrJamesGill]

No distinction, merely an alliterative phrase

[@shidded3969]

Uhhh I have a lump that’s been on the side of my neck for months, if not years. It doesn’t hurt or anything though, I just figured it was a knot that hasn’t gone away (my body is always very tense). Is it something I should worry about?

[@jedijedi901]

How many cm

[@mariammqasm3865]

What the name of book please can you give me the name

[@DrJamesGill]

Macleods clinical examination

[@KeeliaSilvis]

Is there a reason for wearing gloves when checking the armpit vs the rest of the lymph nodes? Besides the "ick, sweaty armpits!" factor?

[@DrJamesGill]

Literally as it’s an unpleasant area to examine

[@jackadambalfour]

Stinking like

[@richardreece7360]

Presumably it's better for the patient as well as they will be less anxious if they know the examining physician can't directly feel the state of the skin?

[@Caltash]

Do t forget the stank. Yes, stank. It gets on your hands.

[@LW91]

Superb!

[@sterichindrance1523]

I didn’t know Polaroid makes eyeglasses!

[@okeziechimaobi9630]

I have lymph nodes in my neck since when I'm 10yrs please can it be removed?

[@Toastrodamus]

Getting both ASMR & sandwich breath from this

[@rhaehodges]

What about the groinal nodes Dr. Gill?

[@DrJamesGill]

They are important, but tend to be focused on for their respective examinations - such as an abdo, or genital examination To reiterate, I always check them when someone has abdo issues

[@jerryjenk]

Why is vikk in this?

[@W3ST666]

One more examination yeeyy

[@ruudscheeren3555]

Abbie looks weird...

[@DrJamesGill]

🤣🤣

[@yaboiijayy_0628]

Ikr

[@chuckoneill2023]

😉

[@CMackthe3rd]

It's the glasses

[@dante666jt]

Yeah another troll judging a stranger by his looks. Lol

[@thekow3273]

I swear you have like eight videos on the lymphatic region.

[@DrJamesGill]

Just one talking about the regions on a plastic body, and this HOWEVER, lymph nodes checks are a requirement for most other clinical examinations. It’s good that you are seeing how important it is, and how often it comes up in different scenarios 😊

[@lilywhite2601]

Dr I have found some on my neck 2 on the left and 2 on the right plus one upper my ear. Is that ok?

[@DrJamesGill]

Often lymph nodes are reactive, but if in doubt see your GP

[@lilywhite2601]

@@DrJamesGill thanks Dr😊😊

[@pierceclark5821]

Uh oh, should one be concerned if they can feel any lymph nodes? I’ve always been able to feel the glands in under my jaw

[@DrJamesGill]

If in doubt, always better to check with your doctor

[@UCONN_HUSKIES]

Can we get longer videos 😁

[@DrJamesGill]

A clinical examination takes as long as it takes, anything else would be disingenuous

[@chrisduckz]

I always wonder. Are the names and DOBs real and is Dr. Gill sponsored by Purell.

[@DrJamesGill]

Broadly the answer is no

[@SKNayak-gl4xt]

I have a slightly raised outgrowth of skin at the heel bone part of my right foot. It is not distinctively noticeable but visible if looked from 4-5 feet of distance. Is this simply a skin tag or something more serious? It has been here since 1-2 years now, has no pigmentation and hasn't spread.

[@antoniobuatava8320]

“Put on your shirt” 😆

[@emmag639]

The whispering made me laugh for a good long while!

[@alexcocchi272]

Where’s Abby?

[@thesavagesoutherner]

Shirt removal: 3.6/10 The guy from the shoulder exam really needs to coach these guys up. Just bad form, yet again.

[@gabrielesimionato1210]

Agreed. Previous contestants performed a fairly better shirt removal. But, in honesty, we didn't see the full athletic gesture in its entirety, so this could be an editing issue. I hope he will perform better in the 2nd trial.

[@minners19]

No doctor has EVER checked my ELBOWS! 😮

[@juliencerone1007]

Asmr love❤️❤️

[@cammm9971]

all i could focus on was the little drop of sanitizer that didnt get on his hands

[@timfox2417]

Imagine if the students he was practioning had so many problems

[@cmil432a]

well thank god im sick and my lymph nodes are swollen

[@rebeccaanne8546]

Zoom in on that purel lol

[@jjhorseman5106]

what do you do when someone is super ticklish? i always get second hand tickles watching these XD

[@albertingles4750]

vikkstar🤩

[@nataliajot4036]

Maciczak hopak czynom kocham badanie kwiat lotos Natalia jaruga ❤❤❤❤❤❤❤❤❤❤❤❤