Podcast
Questions and Answers
What does a sudden increase in the size of a swelling suggest?
What does a sudden increase in the size of a swelling suggest?
- Malignant transformation of a benign growth (correct)
- Inflammatory lesion
- Benign growth transformation
- Abscess formation
What might the presence of fever alongside a swelling indicate?
What might the presence of fever alongside a swelling indicate?
- Neurofibromatosis
- Inflammatory swelling (correct)
- Malignant tumour
- Benign swelling
Which of the following symptoms is commonly associated with secondary changes in swellings?
Which of the following symptoms is commonly associated with secondary changes in swellings?
- Softening or ulceration (correct)
- Increase in appetite
- Complete immobility
- Decrease in temperature
What does the recurrence of a swelling after removal often indicate?
What does the recurrence of a swelling after removal often indicate?
Which condition is likely to present with multiple swellings?
Which condition is likely to present with multiple swellings?
What impact might a swelling near the knee joint, such as an osteosarcoma, have on movement?
What impact might a swelling near the knee joint, such as an osteosarcoma, have on movement?
What type of swelling is most likely to recur if not completely removed?
What type of swelling is most likely to recur if not completely removed?
What symptom is commonly associated with the appearance of swelling?
What symptom is commonly associated with the appearance of swelling?
What distinguishes a benign tumor from a malignant tumor?
What distinguishes a benign tumor from a malignant tumor?
Which type of swelling is most likely to be present since birth?
Which type of swelling is most likely to be present since birth?
What is the primary distinction between swellings that are painful and those that are not?
What is the primary distinction between swellings that are painful and those that are not?
How should the duration of a lump be interpreted regarding its nature?
How should the duration of a lump be interpreted regarding its nature?
What does the mode of onset of a swelling indicate?
What does the mode of onset of a swelling indicate?
Which of the following conditions may lead to a keloid formation?
Which of the following conditions may lead to a keloid formation?
How can you differentiate between a lump noted recently and one that has always existed?
How can you differentiate between a lump noted recently and one that has always existed?
What is a common characteristic of malignant melanoma?
What is a common characteristic of malignant melanoma?
What is the primary symptom that typically leads a patient to seek medical attention for a lump?
What is the primary symptom that typically leads a patient to seek medical attention for a lump?
In neoplastic swellings, what is usually absent in the early stages?
In neoplastic swellings, what is usually absent in the early stages?
Which type of pain is suggestive of inflammation leading to suppuration?
Which type of pain is suggestive of inflammation leading to suppuration?
What is the significance of understanding the onset of pain in relation to swelling?
What is the significance of understanding the onset of pain in relation to swelling?
Which of the following statements about benign growths is true?
Which of the following statements about benign growths is true?
Which condition is an exception where mild pain is typically the first symptom?
Which condition is an exception where mild pain is typically the first symptom?
How can pain be described when it is sharp, sudden, and severe in nature?
How can pain be described when it is sharp, sudden, and severe in nature?
When assessing a lump, what should a surgeon inquire about regarding the patient's pain?
When assessing a lump, what should a surgeon inquire about regarding the patient's pain?
Flashcards
Lump
Lump
A vague mass of body tissue, often without a specific cause or reason.
Swelling
Swelling
Any enlargement or protrusion of body tissue due to various causes.
Neoplasm
Neoplasm
A new growth of cells that proliferate independently of the body's need.
Benign Tumor
Benign Tumor
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Malignant Tumor
Malignant Tumor
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Congenital Swelling
Congenital Swelling
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Traumatic Swelling
Traumatic Swelling
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Inflammatory Swelling
Inflammatory Swelling
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Painless Swelling
Painless Swelling
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Painful Swelling
Painful Swelling
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Pain Site
Pain Site
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Pain Onset
Pain Onset
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Pain Nature
Pain Nature
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Referred Pain
Referred Pain
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Swelling Growth Rate
Swelling Growth Rate
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Benign Growth
Benign Growth
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Sudden swelling increase
Sudden swelling increase
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Shrinking swelling
Shrinking swelling
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Exact site of swelling
Exact site of swelling
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Fever with swelling
Fever with swelling
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Presence of other lumps
Presence of other lumps
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Secondary changes in swelling
Secondary changes in swelling
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Loss of function due to swelling
Loss of function due to swelling
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Recurrence of swelling
Recurrence of swelling
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Study Notes
Examination of a Lump or Swelling
- A "lump" is a mass of body tissue.
- A "swelling" is an enlargement or protuberance, caused by various factors.
- A "tumour" or "neoplasm" is a growth of new cells, independent of body needs.
- Benign tumours grow slowly, with little evidence of mitosis (cell division) or invasiveness.
- Malignant tumours grow quickly, with invasiveness and mitosis.
- Duration is crucial.
- Questions about when the lump was first noticed are important.
- Congenital swellings, like cystic hygroma or meningocele, are present at birth.
- A painless lump can exist for a long time without the patient noticing it.
History of Lump/Swelling
- Duration: "How long has the lump been present?" Patient's perception of noticing it is important, but the actual start time is critical.
- Mode of Onset: "How did the swelling start?" Did it occur after trauma (injury), spontaneously, gradually increase in size, etc?
- Other symptoms: Pain is a key symptom; difficulty breathing, swallowing, or movement restriction are also important.
- Pain characteristics: important to know if pain came before or after the swelling and nature of pain (throbbing, sharp, etc)
- Site of swelling: Important to know the precise site for large swellings, to avoid confusion.
- Fever: fever can accompany inflammatory swellings.
- Other lumps: Presence of other lumps in the body can point to certain conditions, like neurological conditions.
- Secondary changes: Softening, ulceration, or inflammatory changes.
Progress of Swelling
- Size changes: Benign growths grow slowly, while malignant tumours grow quickly.
- Site: exact location of the lump.
- Consistency changes: Notice any changes in texture or surface of the lump.
Other Factors
- Exact site of swelling: crucial for determining the origin of swelling.
- Temperature: Fever can accompany inflammatory swellings.
- Presence of other lumps: presence of multiple lumps can be linked to some conditions.
- Secondary changes: secondary changes to the swelling might indicate different conditions.
- Loss of function: Swelling can cause limitation in movement of nearby areas.
- Recurrence: if swelling recurs after removal, it suggests a malignant change.
- Weight loss: Significant weight loss along with swelling can hint at malignant conditions.
- Past medical and personal history: Personal habits like tobacco use can be connected to various growths.
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Description
This quiz covers the examination and history-taking of lumps and swellings in clinical practice. It focuses on the definitions, classifications, and relevant patient history regarding the presence and characteristics of these growths. Test your understanding of the differences between benign and malignant tumours as well as the significance of duration and onset.
