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• History Taking
• Causes & Classification

 BIODATA
 Age
 Gender
 Occupation
 HOPI
NECK SWELLING
 When do you first notice the lump?
 Rule of 7:
7 days = inflammatory/infection
7 weeks/months = t...

 Systemic Review
 Head & Neck symptoms
 Pain in mouth / throat
 Mouth ulceration
 Nasal discharge
 Pain / blockage...

 PAST MEDICAL HISTORY
 DRUG & ALLERGY
 FAMILY HISTORY
 SOCIAL HISTORY
 Thyroid cancer & radiation
 Previous skin c...


  Inflammatory / Infection
 Lymphadenopathy
 Bacterial / viral
 Granulomatous
 Tuberculous
 Cat-scratch
 Fungal
 ...
 SUPERFICIAL
o Sebaceous cyst
o Lipoma
o Dermoid cyst
o Abscess
 Lymph nodes  DEEP
 Anterior Triangle
o Move with swa...

 Miscellaneous cysts
 Dermoid cyst
 Thyroglossal duct cyst
 Brachial clelf cyst
 Cystic hygroma
 Midline neck mass...

 Unilateral Neck swelling
 Parotid & submandibular glands
 Bilateral Neck Swelling
 Mikulicz’s disease
 Bilateral p...

1) Jones N, Hibbert J, Luxon LM. Scott-Brown’s Otorhinolaryngology: Head
and Neck Surgery cd-rom (A Hodder Arnold Public...

Thank You For Listening!
Neck swelling - History taking, Causes, Classification
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Neck swelling - History taking, Causes, Classification

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Neck swelling
-History taking
-Common causes
-Classification neck swelling

Publié dans : Santé & Médecine
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Neck swelling - History taking, Causes, Classification

  1. 1. • History Taking • Causes & Classification
  2. 2.   BIODATA  Age  Gender  Occupation
  3. 3.  HOPI NECK SWELLING  When do you first notice the lump?  Rule of 7: 7 days = inflammatory/infection 7 weeks/months = tumour 7 years = congenital/development  What do you think is the cause?  History of trauma  Previous TB  How do you notice it?  Noticed accidentally  Told by others  Painful  How does the lump disturbs you?  Associated symptoms pain, discharge, dysphagia, dyspnea, cosmetically disfiguring, fear of malignancy  Any changes to the lump since you first notice it?  Size  Has the lump ever disappears before?  Lying down supine  Any activity  Do you ever had any other lumps before this?  Multiplicity
  4. 4.   Systemic Review  Head & Neck symptoms  Pain in mouth / throat  Mouth ulceration  Nasal discharge  Pain / blockage of airway  Voice changes  Difficulty breathing  Systemic illness  Suggestive of malignancy  Anorexia, weight loss and symptoms from other systems  Suggestive of infection  Malaise, fever, rigors, local symptoms
  5. 5.   PAST MEDICAL HISTORY  DRUG & ALLERGY  FAMILY HISTORY  SOCIAL HISTORY  Thyroid cancer & radiation  Previous skin cancer / lesion  Smoking  Chewing tobacco  Alcohol  Malignancy
  6. 6.
  7. 7.
  8. 8.   Inflammatory / Infection  Lymphadenopathy  Bacterial / viral  Granulomatous  Tuberculous  Cat-scratch  Fungal  Sarcoidosis  Sialadenitis  Parotid  Submaxillary  Neoplasia  Metastatic • Unknown primary • Epidermoid carcinoma • Primary head & neck • Melanoma  Primary • Adenocarcinoma • Thyroid • Lymphoma • Salivary • Lipoma • Glomus vagale • Carotid body tumor • Rhabdomyosarcoma  Congenital / Developmental  Sebaceous cysts  Branchial cleft cysts  Thyroglossal cysts  Lymphangioma/hemangioma  Dermoid cyst  Ectopic thyroid tissue  Layngocele  Thymic cysts
  9. 9.  SUPERFICIAL o Sebaceous cyst o Lipoma o Dermoid cyst o Abscess  Lymph nodes  DEEP  Anterior Triangle o Move with swallowing  Thyroid  Thyroglossal cyst  Lymph node o Do not move with swallowing  Salivary gland  Brachial cyst  Carotid body tumor  Carotid aneurysm  Posterior Triangle o Cervical rib o Subclavian artery aneurysm o Pharyngeal pouch o Cystic hygroma
  10. 10.   Miscellaneous cysts  Dermoid cyst  Thyroglossal duct cyst  Brachial clelf cyst  Cystic hygroma  Midline neck masses  Thyroglossal duct remnants (cysts)  Dephian lymph nodes  Pryramidal lobe of thyroid gland *Mass at sternal notch: tuberculous abscess, dermoid cyst, or a fatty tumor associated with Cushing's syndrome similar to the Dowager's hump. Fullness of the sternal notch can occur in leukemia (Jaccoud's sign)  Lateral neck masses  Brachial cysts  Carotid body tumors
  11. 11.   Unilateral Neck swelling  Parotid & submandibular glands  Bilateral Neck Swelling  Mikulicz’s disease  Bilateral parotitis  Dehydration  Drug effect (sulfonamides, iodides, propythiouracil)  Infection (chriomeningitis or mumps)  Malignancy (leukemia, lymphoma)  Metabolic disease (alcoholism, malnutrition, vit A deficiency, DM)  Autoimmune disease (SLE, sarcoidosis)
  12. 12.  1) Jones N, Hibbert J, Luxon LM. Scott-Brown’s Otorhinolaryngology: Head and Neck Surgery cd-rom (A Hodder Arnold Publication). 7th ed. Gleeson MJ, Clarke RC, Browning GG, editors. London: Oxford University Press, USA; 2008. 2) Schwetschenau E, Kelley DJ. The Adult Neck Mass [Internet]. 2002 [cited 2015 Sep 14]. Available from: http://www.aafp.org/afp/2002/0901/p831.html 3) Williams ME. Assessment of the Neck and Lymph Nodes in the Elderly Patient [Internet]. Medscape. 2009 [cited 2015 Sep 14]. Available from: http://www.medscape.com/viewarticle/712256_5 4) Neck Lump [Internet]. Fastbleep Biology Notes. [cited 2015 Sep 14]. Available from: http://www.fastbleep.com/biology-notes/9/11/356
  13. 13.  Thank You For Listening!

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