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Endocrinology > Neck Lumps > Flashcards

Neck Lumps Flashcards

1
Q

what is the superior boundary of the anterior triangle?

A

mandible

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2
Q

what is the medial boundary of the anterior triangle?

A

midline

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3
Q

what is the lateral boundary of the anterior triangle?

A

anterior border of SCM

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4
Q

what is the anterior boundary of the posterior triangle?

A

posterior border of SCM

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5
Q

what is the lateral boundary of the posterior triangle?

A

anterior border of trapezius

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6
Q

what is the inferior boundary of the posterior triangle?

A

clavicle

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7
Q

what superficial swellings do you get in the neck?

A

sebaceous cysts
lipomas
neurofibromas

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8
Q

how do you tell the difference between a sebaceous cyst & a lipoma?

A

sebaceous cyst will move with the skin but the skin will move over a lipoma

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9
Q

what midline swelling can you get in the neck?

A

thyroid
thyroglossal cyst
dermoid cyst

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10
Q

which midline swelling moves on swallowing and on sticking out the tongue?

A

thyroglossal cyst

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11
Q

which midline swelling moves only on swollen?

A

throid

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12
Q

which middline swelling doesn’t move on swallowing or sticking out your tongue?

A

dermoid cyst

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13
Q

what swellings can you get in the anterior triangle of the neck?

A

lymph nodes
branchial cyst
salivary glands
carotid body tumour

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14
Q

what’s another name for a carotid body tumour?

A

chemodacter

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15
Q

what swellings do you get in the posterior triangle?

A

lymph nodes

cystic hygroma

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16
Q

in which triangle of the neck is it more common to get swellings?

A

anterior triangle

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17
Q

what are the 2 most common causes of neck lumps?

A

lymph nodes

goitre

18
Q

what can cervical lymphadenopathy be due to?

A

infective
malignant
haematological

19
Q

what are the haematological causes of cervical lymphadenopathy?

A

leukaemia

lymphoma

20
Q

what does hoarseness in a patient with cervical lymphadenopathy suggest?

A

recurrent laryngeal palsy

21
Q

what does recurrent laryngeal palsy suggest?

A

cancer of thyroid

pancoast tumour

22
Q

what type of carcinoma do you get in the oropharynx?

A

squamous carcinoma

23
Q

MNG

A

multi-nodular goitre

24
Q

where do thyroglossal cysts occur?

A

anywhere in the thyroglossal tract

25
Q

in relation to which bone are thyroglossal cysts described?

A

hyoid

- supra or infra

26
Q

in which age group do thyroglossal cysts present?

A

teenage years

27
Q

what is a dermoid cyst?

A

a rare congenital cyst

28
Q

in which age group do dermoid cysts present?

A

teendage years

29
Q

what do dermoid cysts feel like?

A

soft

non-fluctuant

30
Q

what is a branchial cyst?

A

uncommon congenital cyst - persisting second branchial arch

31
Q

where in the anterior triangle does a branchial cyst arise?

A

in upper part of anterior triangle

32
Q

what is found on FNA of a branchial cyst?

A

cholesterol crystals

33
Q

in which age group do branchial cysts usually present?

A

teenage years

34
Q

in which age group do cystic hygromas usually present?

A

usually present in first year

35
Q

what can cystic hygromas cause?

A

pressure symptoms

36
Q

what are cystic hygromas filled with?

A

lymph

37
Q

what happens to a cystic hygromas look like under a torch?

A

transilluminate

38
Q

what can a swelling in the submandibular salivary gland be?

A

stone

pleomorphic adenoma

39
Q

what is the most likely diagnosis of a swelling submandibular salivary gland & why?

A

more mucous in saliva so stones more common whereas parotid gland produces more serous saliva

40
Q

what can a swelling in the parotid salivary gland be?

A

infective
pleomorphic adenoma
stone

41
Q

what is the most likely diagnosis of a parotid salivary gland?

A

tumour e.g. pleomorphic adenoma

42
Q

what would facial nerve involvement in a swelling of a salivary gland suggest?

A

cancer

Endocrinology (23 decks)

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