II. Signs

  1. Single Lymph Node enlargement
    1. Left Supraclavicular Lymphadenopathy
    2. Behind clavicular head of sternocleidomastoid
  2. Difficult to localize due to deep location
  3. Technique pointers
    1. Palpate behind anterior head sternocleidomastoid
    2. Perform exam with patient using Valsalva Maneuver

III. Interpretation

  1. Indicates metastasis from abdominal lesion

IV. References

  1. Degowin (1987) Diagnostic Exam, Macmillan, p. 222
  2. Wilson (1991) Harrison's Internal Medicine, p. 354-6

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