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Neck Masses
Dr. Anas Aljundi
Teaching Assistant – Alquds University
21/3/2020 ( why in red? )
• Most common cause of swelling in the neck
is……..? And what’s the most common cause
of this swelling………?
TAKING Hx
• Hx of lump; as we discussed before.
• Be ware also:
1- Systemic symptoms: Is there fever, chills and
contact with people with infectious disease >>
Infective cause of swelling.
2- Loss of apetitie/weight, pulmonary symptoms or
GI or skeletal symptoms>> Malignant cause of
swelling
TAKING Hx
3- Head and Neck symptoms:
Pain in mouth? Sore throat? Dysphagia?
Changes in voice? Dyspnea?
Examination
• As we discussed; 6 Students and 3 Teachers go
for CAMPFIRE.
Triangles of the neck
• What are branches of Internal carotid artery in the neck?
• Where does EJV drain to?
• Rote of phrenic nerve?
Relation to Muscles
• What’s the nerve supply of these muscles?
• Relation to muscle during examination of lump?
Tonsillar Node
( COLD ABSCESS= normal temp. )
Lymph Node Levels in the Neck
Lymphoma
And may increase in size
They are thought to arise from
failure of the lymphatic system to
communicate with the venous
system in the neck.
- What are the complication?
- Name of operation?
Summary
Neck mass approach

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Neck mass approach

  • 1. Neck Masses Dr. Anas Aljundi Teaching Assistant – Alquds University 21/3/2020 ( why in red? )
  • 2. • Most common cause of swelling in the neck is……..? And what’s the most common cause of this swelling………?
  • 3. TAKING Hx • Hx of lump; as we discussed before. • Be ware also: 1- Systemic symptoms: Is there fever, chills and contact with people with infectious disease >> Infective cause of swelling. 2- Loss of apetitie/weight, pulmonary symptoms or GI or skeletal symptoms>> Malignant cause of swelling
  • 4. TAKING Hx 3- Head and Neck symptoms: Pain in mouth? Sore throat? Dysphagia? Changes in voice? Dyspnea?
  • 5. Examination • As we discussed; 6 Students and 3 Teachers go for CAMPFIRE.
  • 7. • What are branches of Internal carotid artery in the neck? • Where does EJV drain to? • Rote of phrenic nerve?
  • 8. Relation to Muscles • What’s the nerve supply of these muscles? • Relation to muscle during examination of lump?
  • 9.
  • 10.
  • 11.
  • 13.
  • 14. ( COLD ABSCESS= normal temp. )
  • 15.
  • 16.
  • 17. Lymph Node Levels in the Neck
  • 18.
  • 20.
  • 21.
  • 22. And may increase in size
  • 23.
  • 24.
  • 25.
  • 26. They are thought to arise from failure of the lymphatic system to communicate with the venous system in the neck.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35. - What are the complication? - Name of operation?
  • 36.
  • 37.
  • 38.