Summary Book Neck

Question 1

Cause of dilated neck vein

Answer 1

Thoracic inlet obstruction due to retrosternal goitre

Question 2

Which masses rise when swallowing water

Answer 2

Goitre / thyroglossal cyst

Question 3

Which masses rise when poking tongue out

Answer 3

Cysts only

Question 4

Cause of thyroid bruit

Answer 4

thyrotoxicosis

Question 5

DDx of neck mass

Answer 5

Congenital (thyroglossal cyst, brachial anomalies). Lymphadenopathy (bacterial, viral, granulomatous - sarcoid/TB, malignancy). Vascular (carotid artery aneurysm, jugular vein thrombosis). Salivary (salivary gland tumour). Neurogenic (schwannoma, neurofibroma)

Question 6

DDx of retrosternal mass

Answer 6

retrosternal goitre, thymoma, lymphoma, germ cell tumour (teratoma, sminoma), mediastinal cyst (pericardial, bronchogenic), parathyroid mass