Neck Lump Examination - OSCE Guide - Geeky Medics
Sep 12, 2013 · Neck lump examination frequently appears in OSCEs and you’ll be expected to pick up the relevant clinical signs using your examination skills. This neck lump examination OSCE guide provides a clear step-by-step approach to assessing a neck lump, with an included video demonstration.
Examination of a Lump - TeachMeSurgery
Mar 2, 2022 · Consistency – Describe how the lump feels, such as soft (e.g. lipoma), firm (e.g. lymph node), or fluctuant (e.g. hydrocoele) Attachment – Is the lump fixed to other structures or can it be moved freely from underlying tissues? Mobility …
Lump and bump examination - Oxford Medical Education
Examination should be completed with a specific examination of the lymph nodes which drain the site of the lump, followed by a general assessment of the patient, with particular attention being paid to eliciting signs of systemic infection or malignancy; Temperature, weight loss and lymphadenopathy are particularly relevant in this respect
Examination of the Neck - TeachMeSurgery
Dec 28, 2022 · Ensure adequate exposure of the entire neck and the patent is looking straight ahead. Inspect for: Obvious lumps; Scars or skin changes; If any mass noted on inspection: Ask the patient to stick their tongue out Any mass in the midline that rises on tongue protrusion is likely to be a thyroglossal cyst
• A thorough examination of the head and neck (including skin) is essential. • The most important investigations in a patient with a suspicious neck lump are a neck soft tissue CT scan with contrast and a fine needle aspiration biopsy.
People who both smoke and drink heavily over several years have the highest risk of developing head and neck cancers. Open INCISIONAL biopsies should be discouraged!! Thus, my bias is that ONLY head and neck surgeons (ENT’s) should be cutting into or around neck masses!!!*
OSCE Checklist: Examination of a Neck Lump Introduction Introduce yourself Wash hands Briefly explain to the patient what the examination involves Inspection Ensure adequate exposure and the patent is looking straight ahead At rest: - Obvious lumps - Scars or skin changes If mass noted at rest: - Ask patient to stick tongue out
Neck Examination - Oxford Medical Education
Explain to the patient that you will be moving behind them to palpate their neck. Take this opportunity to inspect the back of the neck. Patient comfortable? Help getting dressed? Turn to examiner, hands behind back, holding stethoscope (try not to fidget!) before saying: “ To complete my examination, I would like to…”
Position the patient sitting upright and examine from behind if possible. Ask the patient to tilt their chin slightly downwards to relax the muscles of the neck and aid palpation of lymph nodes. To complete the examination...
Assessment | Diagnosis | Neck lump - CKS | NICE
Assess for signs of stridor or superior vena cava compression (swelling of the face and/or neck with fixed elevation of jugular venous pressure). Standing behind the person, palpate the different areas of the neck to assess the position of the neck lump (s) and possible cause.