Neck swelling differential diagnosis
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Neck Swelling Differential Diagnosis. BY Dr. Mohamed Selima. Swellings of the Neck Classification. According to site - Those occurring in the midline - Those in the side of the neck According to chronicity - Acute swelling

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Neck Swelling Differential Diagnosis

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Neck swelling differential diagnosis

Neck SwellingDifferential Diagnosis

BY

Dr. Mohamed Selima


Swellings of the neck classification

Swellings of the NeckClassification

  • According to site

    - Those occurring in the midline

    - Those in the side of the neck

  • According to chronicity

    - Acute swelling

    - Chronic swelling


Mid line swellings

Mid-line Swellings

  • Ludwig Angina

  • Enlarged submental lymph node

  • Sublingual dermoid

  • Lipoma in submental region

  • Thyroglossal cyst

  • Subhyoid bursitis

  • Extrinsic carcinoma of the larynx (late)

  • Goitre (thyroid isthmus / pyramidal lobe)

  • Enlarged lymph node

  • Cystic hygroma (suprasternal space )

  • Retrosternal goitre

  • Thymic swelling

  • Dermiod cyst ( can occure anywhere in the midline )


Lateral swellings

Lateral swellings

IN THE SUBMANDIBULAR TRIANGLE

  • Enlarged lymph nodes

  • Submandibular salivary gland

  • Deep or plunging ranula

  • Extension of growth from the jaw

    IN THE CAROTID TRIANGLE

  • Aneurysm of the carotid arteries

  • Carotid body tumours

  • Branchial cyst

  • Bronchogenic carcinoma

  • Goitre

  • Sternmastoid tumour

    IN THE POSTERIOR TRIANGLE

  • Supraclavicular lymph nodes

  • Cervical rib / cystic hygroma / lipoma / pharyngial pouch

  • Subclavian aneurysm / aberrant thyroid /


Ludwig angina

Ludwig angina

Is a serious, potentially life-threatening cellulitis, or connective tissue infection, of the floor of the mouth, usually occurring in adults with concomitant dental infections and if left untreated, may obstruct the airways, necessitating tracheotomy.

Dental infections account for approximately eighty percent of cases of Ludwig's angina

It might dangerous complication:

- oedema glottis

- mediastinitis

-fatal septicaemia


Ludwig angina1

Ludwig angina


Branchial cyst

Branchial CYST

  • Branchialcleft cysts are congenital epithelial cysts,

  • Arise on the lateral part of the neck

  • from failure of obliteration of the second branchial cleft in embryonic development


Cervical rib

CERVICAL RIB

  • Is an extra rib which arises from the seventh cervical vertebra.

  • located above the normal first rib.

  • A cervical rib is present in only about 0.2% of population;


Lipoma

LIPOMA

  • Slowly growing tumour encapsulated or diffuse.

  • Soft and slippery


Thyroglossal cyst

Thyroglossal cyst


Cystic hygroma

Cystic Hygroma

Lymphangioma arising under the deep fascia and extending

deeply between the muscles.

It is translucent


Swellings of the lymph nodes

SWELLINGS OF THE LYMPH NODES


Swellings of the submandibular salivary gland

SWELLINGS OF THE SUBMANDIBULAR SALIVARY GLAND


Carotid body tumour chemodectoma or potato tumour

Carotid body tumourchemodectoma or ‘potato’ tumour


Sternomastoid tumour

Sternomastoid tumour

  • Is not a tumour

  • It is the result of birth injury to the sternomastoid muscle, causing thormbosis and subsequent fibrosis.

  • It gives rise to a circumscribed firm mass within muscle,


Aneurysm of the carotid and subclavian a

Aneurysm of the carotid and subclavian A

  • Pulsatile palpable mass in supraclavicular fossa.


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