Lump

Question 1

What is the general approach to examining a lump?

Answer 1

1. Look
2. Feel
3. Move
4. Specific tests?
5. Regional lymph nodes

Question 2

What do you look for on inspection?

Answer 2

Location (measure from a landmark)
Contour
Colour of skin
Abnormalities of skin
Abnormal vessels

Question 3

What are you looking for when it comes to contour?

Answer 3

Is it regular or irregular

Question 4

What are 2 examples of colour changes to skin?

Answer 4

Erthematous

Pigmented

Question 5

What is an example of abnormalities of the overlying skin?

Answer 5

Peau d’orange

Question 6

What 10 :( things do you feel for on palpation?

Answer 6

Surface
Shape
Size
Tenderness
Temperature
Cough impulse?
Consistency
Compressible?
Fluctuant?
Pulsatile or expansile?

Question 7

What terms can you use to describe the surface of a lump?

Answer 7

Smooth
Rough
Irregular?

Question 8

What is cough impulse?

Answer 8

If it expands on coughing it is a hernia

Question 9

What terms can you use when describing consistency?

Answer 9

Soft
Firm
Hard
Rubbery
Uniform
Varied
Lobulated

Question 10

What should you do in terms of movement?

Answer 10

Skin tethering
Tethering to deeper structures
Tethering to muscles and tendons

Question 11

How do you assess skin tethering?

Answer 11

Attempt to pick up a fold of skin over the swelling

Compare to other side

Question 12

What specific tests are there?

Answer 12

Transilumination (fluid)

Auscultation (bruit or bowel sounds)