Examine pre and post -aurical ,submental ,tonsillar and occipital lymph nodes along with detection of enlarged supraclavicular lymph nodes in the head and neck area .
In the upper limb, always look for enlargement of epitrochlear lymph nodes .Now examine both axillae and groins for any lymphadenopathy .
Do not forget to examine the abdomen for any enlargement of paraaortic or iliac lymph nodes and hepatic or splenomegaly ,
Always look for consistency ,tenderness and matting of the lymph nodes which help in deciding about the possible cause of lymphadenopathy .
(Q) What are the causes of generalized lymphadenopathy ?
(A) (1) Acute and chronic leukemias .
(2) Lymphoma .
(3) Infections e.g. infectious mononucleosis ,secondary syphilis and miliary tuberculosis (4) Collagen diseases e.g. systemic lupus erythematosis , Still,s disease and rheumatoid arthritis .
(5) Other conditions e.g. sarcoidosis .