The clinical examination of head and neck lymph nodes is the first clinical skills session which new medical students encounter and is a comment examination station in medical school OSCEs Most people will be familiar with the concept of having "raised glands" when they have a sore throat. This is not actually having raised glands but is due to enlargement of the lymph nodes of the neck in order to facilitate the immune response to the infection. Lymph nodes are exactly that, nodes on the network of the lymphatic system that allows the main immune system to react and to focus resources where they are needed within the body. Here will look at the steps required for examination of the lymph nodes of the head and neck.