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Neck Masses – Nermeen Al Othaimeen

Neck Masses – Nermeen Al Othaimeen. Previous batches recommended to read the Examination from browse starting from page 270,especially the special test of thyroid , and the examination of the eyes signs I brought the pictures from the net , they are not the ones came in the previous exams

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Neck Masses – Nermeen Al Othaimeen

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  1. Neck Masses – Nermeen Al Othaimeen • Previous batches recommended to read the Examination from browse starting from page 270,especially the special test of thyroid , and the examination of the eyes signs • I brought the pictures from the net , they are not the ones came in the previous exams\ • If you detect any mistake please don’t hesitate to correct them and inform the whole batch about it • Dr. Kurdi said that most like the thyroid comes in the exam as examination rarely as history

  2. Station 1 7 years old children comes to the hospital with lateral cervical swelling write 4 causes?

  3. Better to divide them into ant. And post. Triangle causes. Anterior triangle: Thyroid swelling Lymphadenopathy Cold abscess ( TB ) Carotid body tumor Branchial cyst Posterior triangle: Lymphadenopathy Cystic hygroma Pharyngeal pouch Subclavian aneurysm Cervical rib Notice I didn’t mention midline causes cuz question said lateral.. Alyaa

  4. Station 2 1)what could be the origin of that lump ( DDx) ? 2). mention two methods in examination by which you could differentiate this lump ? (swallowing and protrusion of the tongue ) 3).mention 3 regional lymph nodes that you should examine .

  5. what could be the origin of that lump ( DDx) ? ( Midline mass ) • Thyroglossal cyst • Pharyngeal pouch • Laryngocele • Thyroid nodule • Dermoid cyst Mention two methods in examination by which you could differentiate this lump ? 1- swallowing test 2- tongue protrusion Mention 3 regional lymph nodes that you should examine? ( I am not sure) • Submental and submandibular • Supraclavicular • jugular groups (upper,middle,lower) • Axilla ( in case of mets)

  6. Station 3 • Picture of Redness & swelling on back of the neck what's the diagnosis? Most likely it is a lymphadenopathy cystic hygroma ( I am not sure) Cystic hygroma in neck is commonly found at the base of the neck in the posterior triangle And it’s not hot, red, or tender with a normal overlying skin… Alyaa

  7. Station 4 Describe? DDx?

  8. Describe? Lump in the Sub-mandibular region • Oval shaped mass • In the sub-mandibular region • Measures 4x5 cm • Skin over the mass is free ( discoloration discharge …) DDX? 2 main origins: LNs, Salivary glands • lymphadenopathy • Abscess from teeth origin • Salivary gland tumors • Mumps • sialadenitis

  9. Station 5 1)What's the diagnosis? • Lid retraction most likely due to Grave’s disease 2)Mention 4 sign of Thyrotoxicosis in the eye?

  10. *Examination of the eyes in thyro-toxic patient ? ( important) • Lid retraction • Lid lag • Exophthalmos • Chemosis • Loss of hair in the outer third of the eyebrows ( hypo thyriod) • Diplopia • Peri-orbital puffiness • These are the important things to be mentioned in the eye examination 

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