Card Set Information
lymph, infective and other
What can a lump in the neck be?
OTHER DISCRETE LUMPS IN NECK
What �other� lumps could it be, if not lymph node or salivary?
Soft Tissue Neoplasms
What is a Branchial cyst?
At angle of mandible,
Histo - lymphoepithelial cyst,
complication Branchial fistula?
How can a dermoid cyst present?
can be I/O or E/O
FOM / midline of neck
displaces tongue (interferes with speech/swallow)
Why is the deep cervical chain of nodes important?
all head and neck lymphatic eventually drain into deep cervical nodes.
What lymph nodes make up the cervical chain, along which vein do they run?
Internal jugular vein
most superior - jugulodigastric (tonsils)
Jugulomyohyoid node - drainage from tongue
What does Submandibular lymph node receive drainage from?
structures along path of facial artery
What does the submental lymph node receive drainage from?
tip of tongue
lower incisor teeth
What consistency is a node assoc with inflammatory process (most likely due to infection)?
Suggest general INFECTIVE causes of lymphad:
Oral or local infection (dental, ENT)
Upper respiratory tract infection (viruses)
systemic infection (e.g HIV, CMV, EBV)
Suggest 6 viral causes of lymphadenopathy:
Suggest Bacterial causes of lymphadenopathy:
Local infections of head and neck
Cat scratch fever
Suggest a Protozoal cause of lymphadenopathy:
Suggest a Fungal cause of lymphadenopathy:
Tx for cat scratch and toxoplasmosis?
Both self limiting.
Long term tetracycline
What are possible NEOPLASTIC causes of neck lumps?
Oro-pharyngeal Squamous Cell Carcinoma
Granulomatous cause of cervical lymphadenopathy?
Pulmonary lesions most common
cough / dyspnoea
Bilateral hilar lymphadenopathy
Oral symptoms of sarcoidosis?
Ulcers or focal swellings
Salivary swellings/ dry eyes / dry mouth (SS-like)
In combo with uveitis, facial palsy, pyrexia and parotitis, sarcoidosis?
General principles of managing neck lumps?
----Haematology and serology
----Ultrasound +/- fine needle aspiration biopsy +/- core
Open biopsy � EUA