LG4.8 Lump/Mass Musculoskeletal Scheme Presentation and LG4.9 Lump/Mass/Hernia Musculoskeletal Cases – Dr. Crutchfield Flashcards
(24 cards)
What is cytology?
The study of cells
What is panendoscopy?
Complete physical examination of the head and neck by pharyngoscopy, laryngoscopy, and upper GI endoscopy.
What is a virchow’s node?
- Lump in the supraclavicular fossa
- Shows breast cancer in females
- Shows lung cancer in men
What is prune belly syndrome?
NO abdominal muscles, undescended tests, urinary tract abnormalities
What is a inguinal hernia?
- Lump in the inguinal area……
- Physical exam 1st, then imaging, treat with true support or surgery.
- Defect in fascia
What is an umbilical hernia?
- “Outie”, congenital or acquired
- Obesity, heavy lifting
What is an incisional hernia?
Fascial defect from a prior operation
What is diastasis recti?
No fascial defect, no repair needed, looks like a lump on the abdomen when head is flexed.
What is lumbar hernia?
Rare, congenital or acquired
What is Grynfeltt-Lesshaft?
Superior lumbar triangle, quadratus lumbrum, 12th rib, internal oblique
What is Petit’s?
Inferior lumbar triangle, latisimus dorsi, external oblique, and iliac crest.
What is a ventral hernia?
- Congenital or acquired
- anywhere on the ventral side of the abdomen.
What is a Spigelian hernia?
- On the line of Davis
- Special type of ventral hernia occurring at the semi lunar line and lateral to the rectus musculature.
- Level of the umbilicus or below
What is a sarcoma?
Diagnose via muscle biopsy
What is osteoma?
- treat with excision, or chemo/radiation, if osteosarcoma
- abnormal bony growth
What is a rectus sheath hematoma?
- Bleeding into rectus sheath
- treat with abdominal binder and bed rest
- Imaging should be engaged to rule out major trauma
- Blood thinners may cause spontaneous into rectus sheath
What is Gastrointestinal stromal tumor?
- Derived from mesenchyme.
- Genetic factor is C-kit pathway gene
What is Endometrius of Rectus Muscle?
- Lump or pain in a scar
- Mass in abdominal muscle
- Treat with hormone therapy or surgery
What is leiomyoma?
Tumor of the uterus
What is a Psoas muscle abscesses?
- Uncommon
- Treat with Abx and drainage
- Debride if associated with necrotizing fasciitis
- If unsure aspirate
What is a ruptured achilles tendon?
- Males more than female
- Treatment with conservative methods of surgery
- Usually very obvious
What is a closed fracture?
broken bone can cause bump
What are the three types of biopsies?
1) Core needle biopsy- used for breast tumor
2) Leather punch biopsy- Used for melanoma
What are the complications of biopsies?
Bleeding, infections, hematoma, scarring
