HEENT EAR(AURICLE)

Question 1

o Firm, nodular, hypertrophic mass of scar tissue extending beyond area of
injury
o More common in darker skinned people and may recur following
treatment

Answer 1

Keloid

Question 2

o Chronic inflammatory lesion
o Starts as PAINFUL, tender papule on helix or antihelix
o Reddening may occur
o Biopsy is needed to rule out carcinoma

Answer 2

Chondrodermatitis Helicis

Question 3

o Hard nodular deposit of uric acid crystals on helix or antihelix
o Discharge white chalky crystals
o Associated with gout

Answer 3

Tophi

Question 4

o Raised nodule with lustrous surface and telangiectatic vessels
o Common slow growing malignancy that rarely metastizes
o Growth and ulceration may occur
o More frequent in fair skinned people overexposed to sunlight

Answer 4

Basal Cell Carcinoma

Question 5

o Dome shaped lump in dermis forms benign closed firm sac attached to
dermis
o Epidermoid cyst: common on face and neck
o Pilar cyst: common on scalp

Answer 5

Cutaneous Cyst

Question 6

o in chronic rheumatoid arthritis
o small lump on helix or antihelix (may also be on forearm ulnar side)
o ulceration may result from repeated injuries
o nodules antedate the arthritis

Answer 6

Rheumatoid Nodules