Lump vs. SwellingLump vs. Swelling

LumpLump-Vague mass of body tissue-Vague mass of body tissue SwellingSwelling-A vague term which denote any -A vague term which denote any enlargement or protuberance in the body & enlargement or protuberance in the body &

may include tumorsmay include tumors

HistoryHistory DurationDuration Mode of OnsetMode of Onset Other symptoms associated with the lumpOther symptoms associated with the lump PainPain Progress of the swellingProgress of the swelling Exact siteExact site FeverFever Presence of other lumpPresence of other lump Secondary changesSecondary changes Impairment of the functionImpairment of the function

History contd.History contd.

Recurrence of the swellingRecurrence of the swelling Loss of body weightLoss of body weight Past HistoryPast History Personal HistoryPersonal History Family HistoryFamily History

Local ExaminationLocal ExaminationInspectionInspection situation situation colorcolor ShapeShape EdgeEdge Number Number pulsationpulsation PeristalsisPeristalsis Movement with respiration Movement with respiration Impulse on coughing Impulse on coughing Movement on deglutition Movement on deglutition Movement with protrusion of tongueMovement with protrusion of tongue skin over the swelling skin over the swelling any pressure effectany pressure effect

PalpationPalpation TemperatureTemperature TendernessTenderness Size, Shape & ExtentSize, Shape & Extent SurfaceSurface EdgeEdge ConsistencyConsistency FluctuationFluctuation Fluid thrillFluid thrill TranslucencyTranslucency Impulse on coughingImpulse on coughing ReducibilityReducibility CompressibilityCompressibility

PulsabilityPulsability Fixed to the overlying skinFixed to the overlying skin Relation to surrounding Relation to surrounding

structuresstructures Skin, subcutaneous tissue, Skin, subcutaneous tissue,

deep fascia, deep fascia, muscle,tendon,bonemuscle,tendon,bone

Sate of regional Lymph Sate of regional Lymph nodesnodes

Fungating bleeding mass-Fungating bleeding mass-

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Breast lumpBreast lump Inguinal swellingInguinal swelling

-Thyroglossal cyst-Thyroglossal cyst

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Congenital dermoidCongenital dermoid

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PercussionPercussion-Hydratid thrill-Hydratid thrill AuscultationAuscultation MeasurementMeasurement MovementMovement Examination of Pressure effectExamination of Pressure effect

General Examination-General Examination- malignancymalignancy syphilitic stigmasyphilitic stigma tuberculosistuberculosis

History for UlcerHistory for Ulcer

UlcerUlcer is a break in the continuity of covering epithelium is a break in the continuity of covering epithelium Mode of onsetMode of onset DurationDuration PainPain DischargeDischarge Associated DiseaseAssociated Disease

ExaminationExaminationInspectionInspection

SizeSize ShapeShape numbernumber PositionPosition EdgeEdge DischargeDischarge Surrounding areaSurrounding area Whole limbsWhole limbs

PalpationPalpation

TendernessTenderness Edge& MarginEdge& Margin BaseBase DepthDepth BleedingBleeding Related with deeper structureRelated with deeper structure Surrounding skinSurrounding skin

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-- Undermined Undermined Punched outPunched out sloping sloping Raised &pearly white beadedRaised &pearly white beaded rolled out(everted)rolled out(everted)

Venous ulcerVenous ulcer

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Examination of Lymph nodeExamination of Lymph node Examination for vascular insufficiencyExamination for vascular insufficiency Examination for nerve lesionsExamination for nerve lesions General Examination-General Examination- tuberculosis tuberculosis

syphilitic stigmasyphilitic stigma trophictrophic ischemicischemic

History for sinus/ fistulaHistory for sinus/ fistula

Sinus-A sinus is a blind track leading from the Sinus-A sinus is a blind track leading from the surface down to the tissuesurface down to the tissue

Fistula-It is a communicating track between Fistula-It is a communicating track between two epithelial surfaces commonly between a two epithelial surfaces commonly between a hollow viscus & the skin or between two hollow viscus & the skin or between two hollow viscerahollow viscera

Causes of persistence of a sinusCauses of persistence of a sinus

Presence of foreign body or necrotic tissue in Presence of foreign body or necrotic tissue in the depththe depth

Absence of the restAbsence of the rest Nondependent drainage or inadequate Nondependent drainage or inadequate

drainage of an abscessdrainage of an abscess Chronic infectionsChronic infections Dense fibrosisDense fibrosis

HistoryHistory

PainPain Fever & redness of the surrounding skinFever & redness of the surrounding skin Past historyPast history Family historyFamily history

Local ExaminationLocal Examination

InspectionInspection NumberNumber PositionPosition Opening of the sinusOpening of the sinus DischargeDischarge Surrounding skinSurrounding skin

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PalpationPalpation TendernessTenderness Wall of the sinusWall of the sinus MobilityMobility LumpLump

Examination of Lymph Examination of Lymph nodesnodes

General ExaminationGeneral Examination

Examination with ProbeExamination with Probe Direction/ depth of Direction/ depth of

sinussinus Presence of any Presence of any

f.b/sequestrumf.b/sequestrum Communication with Communication with

hollow viscerahollow viscera Fresh discharge on with Fresh discharge on with

drawl of probedrawl of probe

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Sinus at left inguinal regionSinus at left inguinal region

Thyroglossal fistula

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