أدوات الجراحة مهم جدا
ملف شبه شامل
@Surgery_Practice

Thoracic outlet syndrome
@Surgery_Practice

Summary for DVT management
@Surgery_Practice

Chronic limb ischemic
@Surgery_Practice

Acute limb ischemic
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شرح د.الأمين النور
Examination of lower limb ischemia
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🔴 DD OF NECK SWELLINGS
━━━━━━━━━━━━━━━━━━
🔰 1) Midline Swelling

▪︎ Submental LNs enlargement
Site in submental triangle

▪︎ Thyroid isthmus nodule
Moves with swallowing
No movement with tongue protrusion

▪︎ Dermoid cyst

▪︎ Thyroglossal cyst
Moves with swallowing and tongue protrusion

▪︎ Subhyoid bursitis
Moves with swallowing and tongue protrusion
Tender (important clue)

▪︎ Laryngocele
- Resonant
- Expansile with cough

▪︎ Others
- Lipoma
- Sebaceous cyst
- Haemangioma
- Prelaryngeal & Pretracheal LNs

━━━━━━━━━━━━━━━━━━
🔰 2) Submandibular Triangle

▪︎ Submandibular LNs enlargement
Multiple
Can be rolled over mandible

▪︎ Submandibular salivary gland enlargement

▪︎ Others
- Lipoma
- Sebaceous cyst
- Haemangioma
━━━━━━━━━━━━━━━━━━
🔰 3) Carotid Triangle
▪︎ Upper cervical LNs enlargement

▪︎ Carotid body tumor
Moves side to side
No up & down movement
Pulsatile

▪︎ Carotid aneurysm

▪︎ Branchial cyst

▪︎ Cold abscess

▪︎ Others
- Lipoma
- Sebaceous cyst
- Haemangioma

━━━━━━━━━━━━━━━━━━
🔰 4) Posterior Triangle

▪︎ Cystic hygroma (Lymphangioma)
Since birth
Lower posterior triangle
Blue, translucent
Not pulsatile

▪︎ Sternomastoid tumor (Torticollis)
Resembles wry neck
▪︎ Enlarged LNs
▪︎ Cervical rib
Hard swelling
Tingling + numbness (medial forearm)
± Raynaud’s phenomenon

▪︎ Neurofibroma (brachial plexus)

▪︎ Cold abscess

▪︎ Pharyngeal pouch

▪︎ Pneumatocele
Resonant
Expansile with cough
At base of neck

▪︎ Others
- Lipoma
- Sebaceous cyst
- Haemangioma
━━━━━━━━━━━━━━━━━━
🔴 Why LNs enlargement is the 1st DD of Neck swelling?

From > 600 LNs in body About 200–400 are found in the neck

#Surgery #DD #clinical
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Examination of the Breast - Surgery - Prof. Ashraf Khater

Examination of Thyroid - Surgery - Prof. Ashraf Khater

Examination of thyroid | Clinical examination - Prof. Ashraf Khater