Lymph node enlargement
You should try to palpate for lymph nodes around the neck, in the axilla and groin. If you palpate lymph nodes and the size is greater than 1 cm then the lymph nodes are enlarged. Persistent generalised lymphadenopathy is defined as the development of enlarged lymph nodes in two or more of the following sites: neck, axilla and groin (see the photo of children with enlarged lymphnodes in Figure 9.2 below). Generalised lymphadenopathy is one of the most common early clinical presentations of HIV-infected children.
Once you have completed your assessment of the child, the next thing you have to do is to classify the child based on your assessment findings.