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Lumps and Ulcers

Lumps and Ulcers. Lumps: History. When first noticed? What made patient notice the lump? Symptoms of the lump? Change since first noticed? Does it ever disappear? Any other previous lumps? Does patient know the cause?. Lumps: Examination 1. Exact position Colour and texture of skin

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Lumps and Ulcers

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  1. Lumps and Ulcers

  2. Lumps: History • When first noticed? • What made patient notice the lump? • Symptoms of the lump? • Change since first noticed? • Does it ever disappear? • Any other previous lumps? • Does patient know the cause?

  3. Lumps: Examination 1 • Exact position • Colour and texture of skin • Temperature • Tenderness • Shape • Size • Surface

  4. Lumps: Examination 2 • Edge • Composition • Reducibility • Relation to surrounding structures • Regional lymph nodes • Local tissues • Always examine the whole patient!

  5. Lumps: Composition 1 • Consistence: Stony hard Rubbery Spongy Soft • Fluctuation • Fluid thrill • Translucency

  6. Lumps: Composition 2 • Resonance • Pulsatility • Compressibility • Bruits

  7. Ulcer: History • When first noticed? • What made patient notice the ulcer? • Symptoms of the ulcer? • Change since first noticed? • Any other previous ulcers? • Does patient know the cause?

  8. Ulcer: Examination 1 • Position • Shape (Draw) • Size • Colour • Tenderness • Temperature

  9. Ulcer: Examination 2 • Base • Edge: Sloping Punched-out Undermined Rolled Everted • Depth (mm and anatomically)

  10. Ulcer: Examination 3 • Discharge (?offensive) • Relations • Lymph nodes • State of local tissues: Blood Supply Innervation Skin signs • Always examine the whole patient!

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