Neck lumps Flashcards
Describe the anterior triangle of the neck
Bounded by the mandible superiorly, the midline medially and sternocleidomastoid laterally/anteriorly.
describe the posterior triangle of the neck
Border by sternocleidomastoid anteriorly, trapezius laterally and clavicle inferiorly.
Name three midline swelling
Goitre
Thyroglossal cyst
Dermoid cyst
A baby present with a large swelling in the posterior triangle of her neck. It is large and transillumiable.
Cystic hygroma
Name three superficial neck swellings
Sebaceous cysts
Lipomas
Neurofibromas
List 4 swelling that arise in the anterior triangle?
Lymph nodes
Brachial cyst
Salivary glands
Carotid body tumour
Name two cysts that arise in the posterior triangle
Lymph nodes
Cystic hygroma
What organs would you be looking for enlargement in if a patient had generalised lymphadenopathy?
Liver
Spleen
A teenage boy presents with a midline swelling that moves when he sticks out his tongue
Thyroglossal cyst
A teenage girl presents with a soft nonfluctulant midline swelling. It doesn’t move on swallowing or protrusion of the tongue.
Dermoid cyst
Which neck lump is caused by a persisting second branchial arch?
Branchial cyst
A teenager presents with a swelling in his anterior triangle. You do a fine needle aspirate and find cholesterol crystals.
Branchial cyst
What two things can cause a submandibular salivary gland swelling?
Stone
Pleomorphic adenoma
What three things can cause a parotid salivary gland swelling?
Pleomorphic adenoma
Infection
Stone
What two investigations would you want to do if you saw a thyroid goitre?
TSH levels
USS FNA
