Flashcards in Neck Lumps Deck (23):
What are the anatomical structures of the anterior triangle?
SCM on anterior border
What are the anatomical structures of the posterior triangle?
posterior border SCM anteriorly
anterior border trapezius laterally
What are causes of superficial swellings?
What are causes of midline swellings?
How do you assess a midline lump?
does it move on swallowing? (thyroid)
does it move when sticking tongue out? (thyroglossal cyst)
What can cause anterior triangle swellings?
carotid body tumour
What can cause posterior triangle swellings?
what do you look for on inspection of a neck lump?
skin changes (spider nevi, pigmentation, rashes,scars, swellings)
What do you palpate for in a neck lump examination?
How do you assess a neck lump?
What is the most common cause of neck lumps?
What can cause cervical lymphadenopathy?
haematological (leukeamia, lymphoma)
What questions need to be asked in a neck lump Hx?
Systemic symptoms (weight loss, fever, night sweats)
Specific symptoms (cough, dyspnoea, hoarseness)
Background (immigration, travel)
What else should be looked at when assessing neck lumps?
hepatosplenomegaly (refer to haematology too)
What investigations should be done of neck lumps?
also get ENT opinion
What should you feel for in thyroid lump?
Why does a thyroglossal cyst occur?
thyroglossal tract contains lymphatics
lymphatics get infected
How and when do thyroglossal cysts occur?
moves on sticking out tongue
How and when do dermoid cysts present?
appear in teenage years
How and when does a branchial cyst present?
persisting second branchial arch
arises in upper part of ant. triangle
What investigation is carried out for branchial cysts? why?
look for cholesteerol crystals
What age do cystic hydromas present?