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Surgery > Swelling And Ulcer Case Discussion > Flashcards

Swelling And Ulcer Case Discussion Flashcards

1
Q

If there is no impulse seen in pt while coughing

It suggest

A

Cough impulse absent means Intracranial extension not there

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2
Q

Transillumination in a scalp swelling will suggest

A

Cystic swelling

Meningocele

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3
Q

If skin over swelling cannot be pinched it implies

A

That the swelling arises from skin

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4
Q

If pt has swelling on scalp, why is it necessary to rule out swelling over rest of the body

A

Neurofibromatosis

Lipoma

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5
Q

D/D of swelling on scalp can be

A 
Sebaceous cyst 
Basal cell carcinoma
Meningocele 
Lipoma
Neurofibromatosis
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6
Q

What is sebaceous cyst

A

It is a blocked hair follicle duct which can give rise to cyst

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7
Q

How to confirm diagnosis of swelling on scalp

A

FNAC

Xray skull to rule out Intracranial extension

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8
Q

Classical feature of sebaceous cyst

A

Punctum present
Fluctuation
Overlying skin cannot be pinched

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9
Q

Sebaceous cyst cannot occur in

A

Palm and sole

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10
Q

Dermoid cyst occurs when and usual sites?

A

Epithelial element get entrapped along lines of embryonic fusion
Site outer canthus of eye, post auricular

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11
Q

Mgt of dermoid cyst

A

Excision only if no Intracranial extension

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12
Q

Lymphangioma is aka

A

Cystic hygroma

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13
Q

What is cystic hygroma

A

Sequestered lymphatic tissue during development

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14
Q

Most common site of cystic hygroma

A

Posterior triangle of neck

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15
Q

Clinical feature of cystic hygroma

A

Fluctuant
Brilliantly transilluminant
Partly compressible
Overlying skin can be pinched

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16
Q

Mgt of lymphangioma

Complication of surgery

A

Aspiration and sclerotherapy (picibanil)
Definitive tt surgery
11 CN INJURY

17
Q

What is ranula

A

Mucus extravasation cyst involving sublingual gland

18
Q

Examination finding and mgt of ranula

A

Fluctuant
Brilliant transilluminant
Mgt excision of cyst and sublingual gland
Marsupialisation

19
Q

Surgical contraindication in ranula

A

Incision and drainage

20
Q

Most common nerve injured during ranula surgery

A

Lingual nerve

21
Q

Most common str injured during ranula surgery

A

Submandibular duct

22
Q

Plunging ranula is

Clinical presentation

A

Mucus retention cyst involving sublingual and submandibular gland
Swelling in neck and oral cavity

23
Q

How to differentiate between submandibular gland swelling and lymph node

A

Submandibular gland is bimanually palpable

and lymph node is not

24
Q

Hallmark feature of parotid swelling

How to know if deep lobe of parotid is involved

A

Swelling lifts ear lobule

Tonsillar fossa is pushed medially

25
Q

Thyroglossal cyst is a remnant of

Mc location of thyroglossal cyst

A

thyroglossal tract

Sub hyoid in midline

26
Q

Clinical diagnosis of thyroglossal cyst

A

It moves with deglutition and protrusion of tongue

27
Q

Sistrunk surgery is done for

Procedure?

A

Removal of
cyst
Tract till base of tongue and part of hyoid

28
Q

Long standing thyroglossal cyst can lead to which cancer

A

Papillary thyroid cancer

29
Q

Difference between branchial cyst and fistula

A

Branchial cyst is persistent cervical sinus

Branchial fistula occurs when there is non fusion of 2nd arch with 6th

30
Q

Location of branchial cyst and fistula

A

Cyst- ant border of sternocleiodomastoid junction of upper and middle one third

Fistula ant border of scm, at junction of middle and lower 1/3

31
Q

Most common cause of cervical lymphadenopathy in India

A

Tuberculosis

32
Q

In tb cervical lymphadenopathy which lymph node is involved most common

A

Level 2

Upper jugular LN

33
Q

To prevent formation of fistula in TB lymph node how to aspirate

A

Anti gravity aspiration from above should be done

34
Q

What is matting of lymph node

A

After caseous necrosis, inflammation of surrounding wall of lymph node i e periadenitis
This leads to sticking of lymph node to each other

35
Q

What is collar stud abscess where is it seen

A

Abscess cavity below and above fistula with opening in fascia
Seen in neck, it is a cold abscess

Surgery (5 decks)

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