Term
| steps after finding a neck mass |
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Definition
• History
• Head and neck Examination
• Imaging
• Biopsy |
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Term
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Definition
| Location, duration, change, associated symptoms |
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Term
| Other systemic or head & neck symptoms? |
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Definition
– Voice change
– Throat pain
– Skin lesions
– Fever/chills
– Night sweats/pruritis
– Otalgia |
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Term
| Inspect and Palpation the Head & Neck |
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Definition
– anything out of the ordinary?
– Bumps/lumps, asymmetry, swelling, discoloration,
bruising/trauma?
– anything hidden by hair? Include the scalp. |
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Term
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Definition
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Term
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Definition
1. Hyoid bone
2. Thyroid cartilage
3. Cricoid cartilage
4. Trachea
5. Sternocleidomastoid muscles |
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Term
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Definition
| Gently walk fingers along areas of the neck comparing sides |
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Term
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Definition
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Term
|
Definition
– Facial symmetry
– Close eyes
– Raise eyebrows
– Show teeth/smile |
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Term
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Definition
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Term
|
Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
• CT with contrast
– Adult
– Anatomic relationships – Soft tissue and bone
– Not good for thyroid!
• MRI with gadolinium
– Superior soft tissue
– Base of tongue and salivary gland
• Ultrasound
– Pediatric – Thyroid |
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Term
|
Definition
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Term
|
Definition
• Fine Needle Aspiration (small amnt of sample)
• Core Needle Biopsy
• Open Biopsy (in OR) |
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Term
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Definition
• Palpation vs. Ultrasound
• Quick
• Cytology (not histology)
• No tumor seeding
• Cultures |
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Term
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Definition
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Term
Thyroglossal Duct Cyst
[image] |
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Definition
• Most common congenital midline mass
• Elevates with tongue protrusion
• Commonly at the level of the hyoid
• Ectopic thyroid tissue
• Can become infected |
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Term
| Peritonsillar abscess treatment |
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Definition
– Drain the abscess!
– Antibiotics
– Analgesics
– Steroids? |
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Term
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Definition
• Infection of the parotid gland
• Dehydration
• Stones rare
• Abscess possible
• Treatment:
– Hydration
– Antibiotics
– Warm compresses – Sialagogues |
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Term
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Definition
• Parotid
– ~80% benign
• Submandibular/Sublingual – ~50% benign
• Minor
– ~30 benign |
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Term
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Definition
• Primary parotid tumor vs. secondary tumor in lymph node
• Deep vs. superficial lobe
• Facial nerve monitoring |
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Term
| Inflammatory mass differential |
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Definition
– Lymphadenitis
• Viral
• Bacterial
– Mononucleosis
– HIV
– Sialadenitis
– Abscess
– Cat scratch fever
– Tuberculosis |
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Term
| congenital mass differenital |
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Definition
– Thyroglossal
duct cyst
– Brachial cleft
cyst
– Hemangioma
– Cystic hygroma – Dermoid cyst
– Ectopic thyroid – Ectopic thymus |
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Term
| neoplastic mass differential |
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Definition
– Metastatic
adenopathy
– Salivary gland – Thyroid
– Lymphoma
– Sarcoma
– Lipoma
– Neurogenic
– paraganglioma |
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