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#Small ball in neck that moves how to
#Small ball in neck that moves skin

Before attempting to compress or reduce a lump be sure to ask the patient if the area is tender.

Lumps which disappear with pressure and do not return spontaneously (e.g.

Lumps that can be emptied by pressure but reappear spontaneously on release of pressure are compressible (e.g.

Intrinsic pulsation is indicated by a swelling that is pulsatile and expansile (e.g.

Try to determine whether the pulsation originates from the lump itself or whether it is transmitted from a nearby vessel.

Note whether the lump is pulsatile, suggesting a vascular origin.

In terms of comparisons: hard is like your chin, firm is like your nose, soft is like your ear-lobe.

Soft lumps are more likely to be benign (e.g.

Fluid-filled lumps may be tense (and thus quite hard), rubbery or spongy.

Hard lumps suggest the possibility of cancer.

This clinical feature describes a spectrum between hard and soft and can be considered under three categories: hard, f irm (rubbery or spongy) or soft.

Certain lumps are abnormally pigmented (e.g.

#Small ball in neck that moves skin

The lump may be the colour of the overlying skin or may appear red and inflamed.Normal skin often overlies deep lumps, while superficial swellings are more likely to result in a change in the overlying skin.Is there any evidence of ulceration (skin breakdown) or necrosis (blackened, usually secondary to ischaemia)?.Is it smooth or rough flat or raised regular or irregular?.

#Small ball in neck that moves how to

Click here to learn how to describe rashes and more unusual shapes.Descriptions should be made in geometrical terms where possible (e.g.The lump should be considered in three dimensions when describing its shape.For example “I palpated a 3 by 5 by 5cm mass…”.Size should be stated in at least two dimensions (and three where possible).This ensures accuracy and allows objective assessment of any change in size.

Size can be estimated but ideally should be measured using a tape measure or ruler.

It may be possible to determine the anatomical plane from information given in the history or on examination (e.g. a subcutaneous lump lying superficial to a muscle will become more prominent when the underlying muscle is contracted, an intramuscular or submuscular lump will become less visible).

2cm superior to the angle of the right mandible) or a well-demarcated site (e.g.

Usually expressed in terms of distance from a bony prominence (e.g.

Permission (consent and explain examination).

Cater your examination to the individual – this takes practise.

Not all of the ways of assessing a lump below are needed in every examination – for example, you do not need to auscultate a lump that is evidently a fibroadenoma.

The key is to ensure you have a clear idea of the various characteristics of the lump before presenting your findings.

In a lump examination the inspection, palpation and other manouvres are often done in any order.

How to examine lumps and bumps for doctors, medical student finals, OSCEs and MRCP PACES