What does an enlarged supraclavicular lymph node mean?

Differential diagnosis of an enlarged Virchow’s node includes lymphoma, various intra-abdominal malignancies, breast cancer, and infection (e.g. of the arm). Similarly, an enlarged right supraclavicular lymph node tends to drain thoracic malignancies such as lung and esophageal cancer, as well as Hodgkin’s lymphoma.

What is supraclavicular adenopathy?

Supraclavicular lymphadenopathy. Supraclavicular nodes drain the head, neck, arms, superficial thorax, lungs, mediastinum, and abdomen. Left supraclavicular nodes also reflect intra-abdominal drainage and enlarge in response to malignancies in that region.

What is supraclavicular hollowing?

The Supraclavicular fossa is an indentation (fossa) immediately above the clavicle. In terminologia anatomica, it is divided into fossa supraclavicularis major and fossa supraclavicularis minor. Fullness in the supraclavicular fossa can be a sign of upper extremity deep venous thrombosis.

What causes supraclavicular inflammation?

Glands above the collarbone (supraclavicular lymph nodes) may swell from an infection or tumour in the areas of the lungs, breasts, neck, or abdomen.

Where does the needle go in a supraclavicular block?

With the shoulder pulled down, the three trunks of the brachial plexus are located above the clavicle; therefore, the block needle should never need to reach below the clavicle during a supraclavicular block.

Where are the supraclavicular nodes located in the body?

The supraclavicular lymph nodes (often shortened to the supraclavicular nodes) are a paired group of lymph nodes located on each side in the hollow superior to the clavicle, close to the sternoclavicular joint. It is the final common pathway of the lymphatic system as it joins the central venous system.

Where does the supraclavicular approach result in anesthesia?

DISTRIBUTION OF ANESTHESIA. The supraclavicular approach to the brachial plexus blockade results in anesthesia of the upper limb including often the shoulder because all trunks and divisions can be anesthetized from this location. The skin of the proximal part of the medial side of the arm (intercostobrachial nerve, T2), however,…

How big is a supraclavicular brachial plexus transducer?

Supraclavicular brachial plexus block: transducer position just proximal the clavicle and needle insertion. The brachial plexus is very shallow at this location, typically 1–3 cm; therefore, inclination of the needle should be equally shallow.

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