1) Supraclavicular adenopathy is almost always abnormal.

2) Oropharyngeal and dental infections can also cause cervical adenopathy.

3) Concomitant epitrochlear axillary and supraclavicular adenopathy should raise the question of cat - scratch fever.

4) Abdominal adenopathy is usually rated by computerized abdominal tomography, gallium scanning, ultrasonography, or lymphangiography.

5) If supraclavicular adenopathy is noted, the patient should also be closely examined for hilar and mediastinal adenopathy.

6) Local infection or trauma causing the adenopathy should be searched for carefully.

7) Bilateral cervical adenopathy is also prominent in tuberculosis coccidioidomycosis infectious mononucleosis toxoplasmosis sarcoid lymphomas and leukemias.

8) Hilar and mediastinal adenopathy can compromise regional structures such as the superior vena cava or trachea and potentially cause a life-threatening complication.

9) Inguinal adenopathy can also be part of systemic processes such as lymphoma or leukemia.

10) Whenever there is evidence of generalized adenopathy,[http:///adenopathy.html] these groups should be uated carefully.

11) The axillae should be palpated for adenopathy, with an assessment of size of the lymph nodes, number , and fixation.

12) They may be associated with pruritus dysuria vaginal discharge and tender regional adenopathy.