Thyroid

Question 1

Neck lump (midline)

Answer 1

• Goitre (moves up on swallowing)
• Thyroglossal cyst (moves poking tongue w’ jaw stationary)
• Submental LN

Question 2

Neck lump (lateral)

Answer 2

• Skin (sebaceous cyst, lipoma)
• salivary glands
• LN’s
• lymphatics
• carotid a (aneurysm)
• pharynx (pharyngeal pouch, brachial cyst)

Question 3

Neck lump (moves on swallowing/tongue protrusion)

Answer 3

• Neoplastic (thyroid nodule, adenoma/carcinoma)

- Degenerative (thyroid cyst, thyroglossal cyst)

Question 4

Multiple swollen LN’s posterior triangle

Answer 4

• Infective (reactive)

- Neoplastic (lymphoma, mets)

Question 5

Neck lump (cystic)

Answer 5

• Degenerative (branchial cleft cyst, laryngocele, mucocele, dermoid cyst, thymic cyst)

Question 6

Neck lump (rock hard)

Answer 6

• Neoplastic (metastatic head+neck ca, salivary gland, paraganglioma, Schwanomma)

Question 7

Neck lump (soft)

Answer 7

• Infective (TB abscess)
• Neoplastic (lipoma)
• Vascular (subclavian a aneurysm/ectasia)