Neck Lump Flashcards
1
Q
differentials for a lateral neck lump
A
carotid or subclavian artery aneurysm carotid body tumour neurofibroma schwannoma lymphatic malformations infections neoplastic granulomatous autoimmune laryngocele pharyngeal pouch brachial cyst/sinus/fistula lipoma epidermal or dermoid cyst abscess sarcomas cervical rib torticollis
2
Q
history key questions
A
how long has the lump been there
has the size of the lump changed
is the lump painful
are there any other lumps
3
Q
history - associated symptoms
A
FLAWSV (fever, lethargy, appetite, weigh loss, night sweating, vomiting) infection history dysphonia and dysphagia stridor and stretor breathing difficulties otalgia globus cough/heamoptysis hearing loss epistaxis
4
Q
examination neck lump
A
is the lump: superficial of deep? where is the lump? relationship to other structures? tender or warm? solid or fluctuant? pulsatile? mobile?
