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Masses By : Nermeen Al Othaimeen. I tried my best to do this presentation comprehensible. I answered the questions in the best way I can , my sources were the net, and doctors .

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masses by nermeen al othaimeen
MassesBy : Nermeen Al Othaimeen
  • I tried my best to do this presentation comprehensible.
  • I answered the questions in the best way I can , my sources were the net, and doctors.
  • The pictures in this presentation are not the ones came in the previous exams we just took the questions from the students and we put similar pictures from net.
  • Please if you find any mistakes or even you find better answers don’t hesitate to tell me or Nojod Al amri
station 1
Station 1

Man with a big swelling in the back of his head of few

months duration a) List 3 things u can see them by inspection:

b) DDx:

c) 2 early or immediate – local – complications of the

surgery

slide3

1-List 3 things u can see them by inspection:

*Round or spherical mass

*well defined

*smooth surface

*intact skin

2- Give DDx:

  • Lipoma
  • Sebaceuos cyst
  • Abscess
  • Lymph nodes
  • Heamatomas
  • Sarcoma
  • Osteoma
slide4

3- Give 2 early or immediate – local – complications of the surgery :

{ dr. Kurdi gal el so2al maloosh ma3na :D }

1- wound infection

2- bleeding

3- excessive skin removal.

4-heamatoma

5- chyle leak

6- sutures dehiscence

station 2
Station 2

Q.describe?Q.give 3 D.D?

slide6

1- Describe what you see

  • Round facial mass
  • In the right cheek
  • Smooth surface
  • Mention the size
  • Mention the skin changes ( redness,discharge…etc)

2- give 3 D.D

  • Salivary glands enlargement( tumors, inflammation, stones..)
  • Teeth abscess
  • Mumps
  • Lipoma ??
station 3
Station 3

describe?

D.D?

slide8

1- Describe what you see?

  • Red mass in the head
  • Spherical in shape
  • Mention the size
  • Mention skin changes

2- What is your D.D?

  • Hemangioma
  • Hematoma
  • ???
station 4
Station 4

give DDx?

Examine ??

slide10

DDX :

Lipoma ,, Abscess

Trauma-induced edema/hematoma

Insect bite

Examination:

5ps ( present your self , have permission, proper exposure, privacy, position of the patient)

By inspection :

site

size

shape

symmetry

skin changes

slide11

By palpation :

  • Temperature
  • Tenderness
  • Mobility (assessed in 2 planes)
  • Contour ( defined or nor)
  • Consistency ( firm , hard , soft , rubbery)
  • Tethering and attachment to underlying skin and subcutaneous tissues
  • Confirm what you see by inspection.

By Percussion: resonance and dullness

By auscultation :Bruits

Special tests:

Fluctuation ( done in 2 perpendicular planes)

  • Fluid thrill , resonance and dullness , trans-illumination test ( done in dark room or with cone)
station 5
Station 5

Examination of supra-clavicularregion

  • Ma adriweshyebi el so2al :D

But I would do a complete neck examination concentrating on lymphadenopathy..

  • Ensure the 5 p’s

By inspection :

  • Symmetry
  • Skin changes
  • Scars
  • deformity
  • Visible masses
  • Any thing you see abnormal in that area describe it, or even in the neck 
slide14

By palpation:

  • Stand behind the patient
  • Bend patient’s neck to the left if u want to palpate the left Supra-clavicular region and vice versa with the right region , the aim is to make the area flexible not tense
  • Feel any palpable lymph nodes and their composition.
  • Temperature
  • Tenderness

By percussion :

  • Percuss over the supra-clavicular region
  • Clavicle
  • Sternum
  • Lungs

By Auscultation :

  • Auscultate for any possible lung apices cancer with bell and diaphragm of the stethoscope
station 6
Station 6

*give differential diagnosis?

  • Sebaceous cyst
  • Carbuncle
  • Folliculitis
  • Lipoma
  • Sebaceous carcinoma

Pic of Swelling appears in the scalp in between the hair

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