Flashcards in Neck swellings Deck (33)
Where is the anterior triangle?
Lateral border SCM
Medial is midline
Where is the posterior triangle?
Lateral - anterior border of trapezius
Medial - lateral border of SCM
Which swellings are found superficially?
Which swellings are found in the midline?
What swellings could be present in the anterior triangle?
Carotid body tumour
What swellings are present in the posterior triangle?
Which points in a Hx are important if symptom is cervical lymphadenopathy?
Fever, weight loss
melena, recent immigrant
What investigations are needed if cervical lymphadenopathy?
Fine needle aspiration
Mantoux test or ZN stain
Check other nodes
What is evident in examination of a thyroglossal cyst?
Moves with the tongue
Presents in teenage years
What is the treatment for a thyroglossal cyst?
What are the features of a dermoid cyst?
Presents in youth
Also found lateral to eye
What is a branchial cyst?
Persistent part of 2nd branchial arch.
Half filled water bottle
What may be contained in a branchial cyst?
What is a caution with branchial cysts?
May fistulate to skin and leak saliva
Where do cystic hygromas present?
In whom do cystic hygromas present?
What are the features of cystic hygromas?
What is the treatment for cystic hygromas?
Will shrink over time so just leave it
Which cancer is most likely to appear on the ectopic thyroid tissue?
If the swelling moves on swallowing where it is likely to be?
If the swelling move on sticking the tongue out what is not likely to be?
What is a chemodactoma?
Carotid body tumour
If a swelling is soft, is it likely to be benign or malignant?
What is Trosier's sign?
Presence of Virchow's node
What is the structure called in the mouth which contains all the tonsils?
Waldeyer's tonsillar ring
Histologically, what kind of cancer is likely to be found in the oesophagus?
Where else can cystic hygromas present?
What parts of the history are particularly important in thyroid swellings?
Previous neck irradiation
True or False
Hoarseness could be either benign or malignant
Which nerve infiltration causes hoarseness?
Which investigations should be done in a thyroid swelling?
What are the 5 responses of FNA?
Thy 3- suspicious