Neck Lumps/ Solitary Thyroid Nodule Flashcards
(19 cards)
What are the borders of the anterior triangle?
Mandible
Sternocleidomastoid (medial border)
Midline
Name the borders of the posterior triangle
Sternocleidomastoid
Trapezius
Clavicle
Name 3 midline swellings
Thyroid
Thyroglossal duct
Dermoid cyst
Name 3 anterior triangle swellings
Lymph nodes
Brachial cyst
Salivatory glands
Name 2 posterior triangle swellings
Lymph nodes
Cystic Hygroma
What is the main cause of neck lumps?
Lymph nodes
What is cervical lymphadenopathy?
Swelling or disease of the lymph nodes
3 causes of lymphadenopathy?
Infection
Malignancy
Haemotoogical i.e leukaemic/lymphoma
What 2 investigations could you do for cervical lymphadenopathy
CXR
Fine Needle Aspiration
What are the 2 types of thyroid nodule?
Solitary Thyroid Nodule
Multinodular Goitre
Where do thyroglossal cysts form?
Anywhere along the thyroglossal duct
True/ False
Thyroglossal cysts move with your tongue?
True
Name the other midline swelling that isn’t your thyroid or a thyroglossal cyst?
Dermoid cyst
Where are branchial cysts found?
Anterior triangle (upper part)
Where are cystic hygromas found?
Posterior triangle
When do the majority of cystic hygromas form?
First year
Cystic Hygroma’s are transilluminate. What does that mean?
You can pass light through them to detect abnormalities
Where should you not forget when thinking about neck nodules?
Salivatory glands!
Parotid and Submandibular
What 3 investigations are useful when looking at a solitary thyroid nodule?
USS - Fine Needle Aspiration
TSH levels
Isotope scan
