Lumps and Bumps Examination
Lumps and Bumps
Describe lumps, scars and suggest a Differential Diagnosis
Hernia
Differentiate between direct and indirect inguinal hernia
Which is the commonest?
Explain the anatomical markers for inguinal/femoral & direct/indirect
Repair of a hernia
Complications of hernias
Features of a incisional hernia, does it need repairing?
Neck Lumps
Differential Diagnosis of a lump in the neck
Differential Diagnosis of goitre and treatment
What are the causes of a goitre (eu/hypo/hyper)?
How would you assess thyroid status on clinical examination?
Explain Pemberton’s test.
What are the complications of thyroid surgery?
As the house officer, what investigations would you perform pre-surgery,
and what medications should she be on?
As a house officer, what is the most important aspect of post surgical
care- what would you double check she had near her at all times? What may
the anaesthetist worry about?
Ix, Rx, in different scenarios, role of CT scan
How would you differentiate between thyroid lump & thyroglossal cyst?
How can you tell the lump does not involve the skin? What makes you think
this lump is not associated with the carotid artery?
Q: Who else would this patient see pre-op? A: Anesthetist
Q: What would he be worried about? A: Airway and CVS.
What other examination would you like to do?
How could you assess this in clinic? (U/S + FNA)
Causes of thyroid mass and indications for surgery if euthyroid. I forgot
the oesophagus existed, i.e. swallowing problems.
Lymph drainage of head and neck
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