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SS: ENT > Neck Lumps > Flashcards

Neck Lumps Flashcards

1
Q

Bone landmarks of neck

A

Mastoid process, mandible, Hyoid C3, Clavicles (supra-sternal notch)

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2
Q

Muscle landmarks of the neck

A

sternocleidomastoid and trapezius

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3
Q

Glands of the neck

A

Thyroid, Parotid, submandibuar, sublingual

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4
Q

Other landmarks of the neck

A

Laryngeal Prominence (Adam’s apple C4), Cricothyroid membrane (C5-C6), Trachea C6

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5
Q

TINED A CANN

A

Trauma, Infective, Neoplastic, Endocrine, Drugs/ Allergy

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6
Q

Traumatic causes of neck lumps

A

Fractures, muscle evulsion, haematoma, reactive oedema

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7
Q

Infective causes of neck lumps

A

Insect bite, TB, Cat scratch disease (Bartonella), mumps, retropharyngeal abscess, neck abscess, lymphadenopathy (glandular fever)

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8
Q

Neoplastic causes of neck lumps

A

Squamous cell carcinoma, lymphoma, thyroid cancer, salivary gland tumour

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9
Q

Endocrine causes of neck lumps

A

Goitre, autoimmune

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10
Q

Drug causes of neck lumps

A

Iodine deficiency, anaphylaxis (laryngeal oedema)

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11
Q

Connective tissue causes of neck lumps

A

Dermoid cyst, sebaceous cyst

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12
Q

Congenital causes of neck lumps

A

Thyroglossal cyst and fistulae, cystic hygroma, brachial cyst, dermoid cyst

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13
Q

Arterio-venous causes of neck lumps

A

Cystic hydroma, brachial cyst, carotid body tumour

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14
Q

Neurological causes of neck lumps

A

Torticollis (Wry Neck)

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15
Q

Presentation for Neck Lump

A

Swelling in neck, pain, weight loss, fatigue, dysphagia, dysphonia, fever, malaise, night sweats, tremor, palpitations, temperature, otalgia, dysphonia, sore throat, nasal obstruction

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16
Q

Presentation of Thyroid specific lump

A

Thyroid facies, eye signs, bilateral neck swelling, tremor, weight loss/gain, mood changes, dysphagia, odynophagia, bowel habit, appetite, menstrual disturbance, breathing difficulties, change in voice, palpitations, malaise, restless

17
Q

Odynophagia

A

Pain on swallowing food and fluids

18
Q

End pieces for neck exam

A

Full ENT exam, examine for systemic lymphadenopathy, thyroid exam

19
Q

Examining neck lump

A 
Ears, nose and throat
Lumps
Lymp nodes
Thyroid examination 
Water test
Palpation
20
Q

Water test

A

Sip water and protrude tongue, if lump moves do thyroid exam

SS: ENT (8 decks)

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