Neck swellings Flashcards
What are the congenital neck swellings?
- cystic hygroma
- branchial cyst
- thyroglossal cyst
a neonate presented with a large translucent cystic mass on the side of his neck, what is the reason behind this condition?
coarse lymphangioma
congenital dilation of neck lymphatics
CYSTIC HYGROMA
How should cystic hygroma be treated?
injection of sclerosing agent
failure of obliteration of 2nd branchial cleft will lead to?
cystic mass under the cover of sternomastoid
BRANCHIAL CYST
What are the complications of a branchial cyst & how is it treated?
fistula formation (acquired) surgical excision
failure of thyroglossal trunk obliteration will lead to?
THYROGLOSSAL CYST
Where does a thyroglossal cyst commonly occur?
subhyoid area
What sign will be seen with a thyroglossal cyst?
moves up & down with deglutition & TONGUE PROTRUSION
what are the complications of a thyroglossal cyst?
infection
fistula formation
What are the investigations performed incase of a thyroglossal cyst & what is its treatment?
- ultrasound neck
- radioisotopic scanning
- SISTRUNK operation
What is your diagnosis if a patient presents to u with a pulsatile swelling under sternomastoid & what investigation will you use to reach it?
- CAROTID ARTERY ANEURYSM
- CT angiography will show abnormal permanent dilation of artery
a patient presents to your clinic with a tense soft swelling attached to the skin with a puntum, what is your diagnosis?
sebaceous cyst caused by retention
How is a sebaceous cyst treated?
surgical excision through elliptical incision
a patient presents with a soft swelling with a slippery edge & not attached to the skin, what might be your diagnosis & treatment?
LIPOMA
subcutaneous benign tumor of adipose tissue
surgical enucleation
a patient presents with a hot red tender swelling that’s fluctuant, what is your diagnosis & treatment?
ABSCESS
acute localized suppurative infection
incision & drainage