Examination of a swelling Flashcards
1
Q
What are the steps in examining a lump?
A
Look Feel Move Special tests Regional lymphatic drainage
2
Q
What should you look for when examining a lump?
A
Location measured from a landmark Contour - regular/irregular Colour of overlying skin - erythematous/pigmented Abnormalities in overlying skin Abnormal vessels
3
Q
What should you feel for when examining a lump?
A
Surface - smooth/rough/irregular Shape Tenderness Size Temperature Cough impulse? Consistency Compressible? Fluctuant? Pulsatile/expansile? Palpable thrill?
4
Q
What should you look for when moving a lump?
A
Skin tethering - pick up a fold of overlying skin
Tethering to deeper structures
Tethering to muscles and tendons - use the relevant muscle
5
Q
What special tests should you do when examining a lump?
A
Transillumination
Auscultations for bruits/bowel sounds
