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Palpation of anatomical landmark Mastoid tip

Lateral process C1

Hyoid bone

Thyroid

Mandible

Sternocleidomastoid

Clavicle

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Triangle of the Neck

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Internal Jugular vein

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Anatomy of Lymph nodes

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Nomenclature of lymph nodes

Rouviere 1932

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Nomenclature of lymph nodes

Lindberg 1972

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Nomenclature of lymph nodes

Memorial Sloan-Kettering Cancer Center

1981

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Additional lymph nodes group

Parapharyngeal node

Retropharyngeal node

Superior Mediastinal node

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Specific primary site drain to specific l.n.

As first echelon lymph nodes

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Pattern of lymphatic drainage

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Removal of lymph nodes

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First echelon lymph node?

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First echelon lymph node?

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Primary site?

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Primary site?

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Primary site?

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Primary site ?

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