neck lump 2 icl Flashcards
what is the most common cause of neck lump and what
lymphadenopathy
85%
causes of lymphadenopathy
infection -painful rubbery soft painful
malignancy - painless lymphoma cll gastric malignancy
other- tb, sarcodisis hiv aids
moves on swallowing and tongue protrusion
midline thyroglossal cyst
base of tongue to cricoid- foramen cecum
asymptomatic but if infected then painful
sistrunk procedure- median third hyoid bone removal
TFT to distinguish
anterior triangle
branchial cyst cholesterol crystals grey fluid smooth non tender can be congential anterior to sterncleomastiod left hand usually near hypoglossal may compromise if enlarged
tumour at burifcation
chemodectoma carotid body tumour pulasatile mobile I one place bruit dizziness and syncrope horners syndrome dydphagia
USS for dignoasitcaurical resection in younger and radiotherapy in older
CN X and X11 plasy
cervical rib
overdevelopment of rib 7 compession of brachial plexus causing tingling and muscle weakness
compression of sub v- arm swelling
sub a- colour change, pallor, pain and claudication
sitholiasis
salivary gland stones painful eyrhtema floor of mouth pain on eating, thought of food and smell of food lack of saliva
Dx- cb anusysem
posterior triangle
cystic hygoma
congenital
transluminates
soft painless
pharyngeal pouch
globus -feeling of something in throat dysphagia cough halitosis outpouch at killian dehscences above cicrophagyneal zenker diverticulum crepitus of a neck lump barium swallow
dermatoid cyst -
begnign congenital harmaton forms cyst at ebroynic clet
painless midline lump
astmpyomatic
centor criteria
for bacteria vs viral LN more likely to bbe bacterial if... exuate absence of cough fever anterior enrlarged LN
vascular question…
pain at night
and at rest
critical limb ischaia 0.6-0.3 limb ischemia gangrene ulcer o.3 less 0.9-0.6 intermittien claudication
rayaund present with…
beurger disease
young male smoker
lerich sydndrome
bum pain and impotence due to occlusion in pvd
aortic brufication
external and internal iliac
femoral popliteal
buttok pain
thigh pain
calf pain
