how to manage a swelling in the neck l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
How to Manage a SWELLING IN THE NECK PowerPoint Presentation
Download Presentation
How to Manage a SWELLING IN THE NECK

Loading in 2 Seconds...

play fullscreen
1 / 16

How to Manage a SWELLING IN THE NECK - PowerPoint PPT Presentation


  • 239 Views
  • Uploaded on

How to Manage a SWELLING IN THE NECK . Zaid Awad. History 1. General Age, Sex, Race Malaise, weight loss Fever, Rigors, Itching Loss of appetite Contact; TB, URTI Cough, SOB Smoking, Alcohol, Occupation, Travel. History 2. Swelling Duration Onset Progression Pain

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'How to Manage a SWELLING IN THE NECK' - bernad


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
history 1
History 1
  • General
    • Age, Sex, Race
    • Malaise, weight loss
    • Fever, Rigors, Itching
    • Loss of appetite
    • Contact; TB, URTI
    • Cough, SOB
    • Smoking, Alcohol,
    • Occupation, Travel
history 2
History 2
  • Swelling
    • Duration
    • Onset
    • Progression
    • Pain
    • Aggravating/Remitting factors
    • Overlying skin
    • Other swellings
history 3
History 3

Head & Neck

  • Pain
  • Dysphagia /odynophagia
  • Voice change;
    • hoarseness/weakness
  • Discharge
    • Colour, Odour, Duration, Consistency
  • Bleeding
    • Epistaxis, Haemoptysis, Petechiae, Ecchymoses
general examination
General Examination

GENERAL

  • Skin

Pallor/Cyanosis/Erythema /Jaundice

  • Dyspnoea
  • Nutritional Status

BMI/muscle wasting

  • Distended Veins
  • Tremor
  • Pulse (rate, rhythm)
examination
Examination

INSPECT

  • Site
  • Size
  • Shape
  • Overlying Skin

PALPATE

  • Consistency
  • Pulsation
  • Relation to muscle (contract/relax)
  • Other lumps
examination8
Examination

Movement

  • With swallowing
  • With protruding the tongue
  • By hand - two dimensions

Auscultate

  • Bruit
  • Venous hum
system examination
System Examination
  • Chest
    • Inspect

Symmetry/Movement/respiratory muscle

    • Palpate

Trachea/Chest Expansion/Apex beat

    • Auscultate

Breath Sounds/Additional Sounds

  • Abdomen & Pelvis
    • Inspect

Distension

Veins

Shape

    • Palpate

Ascitis

Masses Liver/Spleen/Kidney

    • Auscultate
  • Cardiovascular System
    • Pulse/Pressure
investigation
Investigation
  • Blood Tests:
    • FBC, U&E, LFT,
      • If required: TFT, Calcium, Calcitonin
  • Microbiology & Immunology
    • Thyroid Antibodies, Swabs, Cultures
  • Radiology
    • CT/MR/US/Radio-isotope scan
  • Cytohisopathology
    • FNAC/Biopsy
radiology
Radiology

GENERAL

  • CXR
  • CT Chest, Abdomen & Pelvis
  • Liver USS

Swelling

  • MRI
  • Ultrasound Scan +/- FNAC
cyto histopathology
Cyto/Histopathology
  • FNAC
  • True Cut/Wide Bore
  • Tissue Biopsy
    • Incisional
    • Excisional
origin
Origin
  • Lymphadenopathy
  • Thyroid/Parathyroid gland
  • Salivary Gland (parotid, submandibular…)
  • Thyro-glossal Cyst
  • Branchial Cyst
  • Carotid Body Tumour
  • Cystic Hygromata
  • Pharyngeal Pouch
  • Sterno-mastoid Tumour
  • Cervical Rib
lymphadenopathy
LYMPHADENOPATHY

INFLAMMATORY

NEOPLASTIC

BENIGN

ACUTE

Viral, Bacterial, Fungal..

MALIGNANT

CHRONIC

PRIMARY

(Lymphoma Sarcoma..)

NON-INFECTIVE

(Sarcoid/ Rheumatoid)

SECONDARY

H&N and visceral cancer

INFECTIVE

(TB/Syphilis)