Case based discussion

Question 1

Describe the embryological origin of a thyroglossal cyst

Answer 1

Embryological origin of thyroglossal cyst – foramen caecum, as it is connected to tongue by this attachment

Question 2

What are the B symptoms, and what are they associated with?

Answer 2

non-hodgkins lymphoma

B symptoms – fever, night sweats and weight loss

Question 3

What could be happening if a patient complains of recurrent swelling of neck just under their jaw, particularly after eating, which is quite painful at the time though they are feeling generally well?

Answer 3

Sialadenitis (inflammation of salivary gland), tumours of salivary gland do not fluctuate

Question 4

What is quinsy?

Answer 4

Peritonsillar abscess