HEENT 09 Neck Masses Flashcards
What is a normal size for a cervical lymph node? What size is abnormal?
Normal:1.5 cm
Patient has a neck mass, it’s a Congenital anomally. What do you do?
CT scan
Patient has a neck mass with an inflammatory or infectious condition. Broad-spectrum antibiotic had no improvement on neck mass. What do you do next?
Chest radiograph and PPD TB skin test
Patient has a neck mass, it’s a neoplasm (tumor). What do you do?
CT scan
Recent associated URTI. Voice change. Stridor ; SOB (shortness of breath). Problems with swallowing. Globus sensation. emoptysis
Otalgia. Hearing loss (unilateral). Recent trauma. Oral lesions. Dental problems. Night sweats. Anorexia. Weight loss. Difficulty handling secretions. Chronic unilateral nasal discharge or bleeding
Neck mass
What are the 3 branches of the trigeminal nerve? Where does each go?
- Ophthalmic – to eye
- Maxillary – to cheek
- Mandibular – to mandible
What hormone may cause a mass on the Thyroid/Parathyroid Glands?
TSH
Cat scratch or bite. Persistent painful regional lymphadenopathy. Caused by Rochalimaea henselae (Gram Negative Rod)
Cat scratch disease
What is the first line and second line antibiotics for Cat Scratch Disease?
First line: Ampicillin
Second line: Cephalosporin
Multiloculated cystic structures that are benign in nature. They form as the result of budding lymphatics and, thus, may occur anywhere in the body, although they are most frequently encountered in the neck
Cystic Hygroma
Mass. Often the tongue, base of tongue, supraglottic larynx and mediastinum are involved, causing severe respiratory obstruction.
Lymphangioma
patient presented with neck swelling, shortness of breath on exertion and stridor
Biopsy of the neck mass revealed:
Hodgkin’s lymphoma
