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EXAMINATION OF LUMPS
Created by : Ahmed emad alkhafaji
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How to take History about lumps
1-Duration of lump
2-When it first noted ?
3-what is the first symptom of lump ?
4- progression of lump ? Increase in size or decrease ?
5- other symptoms ?
6-Is the lump persist ?or disappear ?
7-what about multiplicity ? ‫يعني موجوده بمنطقة وحده ؟لو كلساع تطلع بغير‬
‫وباقي بمكانه لو انتشر‬... ‫مكان‬
8-ask patient what do you think about the cause? In rural area bite of
sand flies lead to leishmaniasis ...!! Trauma in breast lead to
fat necrosis
2
4S
4C
4R
3F
2T
BPE
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4s
1- site (anatomical area)
2-size (length , hieght , width)
3- surface (smooth , irregular , nodular , bosselated?
4-shape (semispherical , kidney shaped , cucumber,
pear shape , oval)
4C
A- stony hard ( bone)
1-Consistency
B- hard (C.T)
C- firm ( fibrous tissue , tendons)
D-rubbery (muscle)
E-spongy (fluid )
F- soft ( lipid)
c
2- olor ( black…melanoma , …etc)
3-
compressibility:sustained pressure empty the swelling which
is refills on release of pressure
4-
3
cough impulse (used in abdominal mass in suspected hernial mass )
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4R
1- Reducibility: lump reduced to another space and not returne
spontanosly
2-
Relation to surrounded structure
3-Regional lymph node examination
3F
f
2-flacation : it is sign of present of fluid
1- ixed or mobile ?
f
3- luid thril present or not
TT
T
2-Transillumination test (need red beam and dark room )
1- emperature …hot , cold ?
BPE
B
1- ruit present or not ? Present in AV fistula …also in malignant AV
shunting
P
2- ulsatile or not ? Aneurysm mass is pulsatile
tumor located to major artery also pulsatile
3-Edge of lump? Sharp ? Rounded ?
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