cervical lymh nodes, jugulodigastric node

Lymph nodes in neck in toddler age group are very common. they commonly follow a throat infection. they can be an early marker of tuberculosis of tonsillar origin. its a sign of throat infection which is better examined when the mouth is closed.

As in this child, se the bulge seen below the mandible on right side. That is a palpable and visible (so significantly enlarged) cervical node.

Usually cervical nodes when larger than 1.5 cm size in children are called significant.

if the child is having active throat symptoms ( like in acute stage the throat may be congested. if its chronic the child may be coughinf since days), he may benefit by symptomatic therapy and a course of antibiotics for 10 days before ruling out TB, TB will be more likely if the lymphadenopathy is multiple / matted and Matoux test is positive.

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when a doctor completes his training without the real hands on experience, its mistaken by many that what you are taught in medical school is totally in contrast with what you see clinically in patients. This blog aims at making medical students and docs understand how every case is exactly the same as in books. The work done by senior docs over the years is really rewarding. Infact when one finds a contrast in what is taught, he should go to books and you will find the exact descriptions verbatim, or the images as they are explained in medical books.