Masses by nermeen al othaimeen
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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


Masses by nermeen al othaimeen

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


Masses by nermeen al othaimeen

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?


Masses by nermeen al othaimeen

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?


Masses by nermeen al othaimeen

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 ??


Masses by nermeen al othaimeen

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


Masses by nermeen al othaimeen

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)


Acronyms 3ashan la tensoon

Acronyms 3ashan la Tensoon


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 


Masses by nermeen al othaimeen

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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