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Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
December 9, 2023
1400H - 1500H
Via Zoom
Empowerment
objective - for
laypeople to have an
essential
understanding of
Clinical Diagnostic
Algorithm for
Common Surface
Lumps in their health
management.
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Empowerment
objective - for
laypeople to have an
essential
understanding of
Clinical Diagnostic
Algorithm for
Common Surface
Lumps in their health
management.
Welcome all!
MUTE yourself but always
show your video picture.
Sign in your name, FB
account, or email address in
the Chat Box! Include names
of companions attending.
Use the Chat Box to ask
questions and make
comments while the PEP TALK
is on.
There will be group pictures
at start and end of PEP TALK –
show your face in video.
December 9, 2023
1400H - 1500H
Via Zoom
Reminder after the PEP
Talk:
Take the Online Learning
cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.
Link is in Chat Box.
Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Empowerment
objective - for
laypeople to have an
essential
understanding of
Clinical Diagnostic
Algorithm for
Common Surface
Lumps in their health
management.
ROJOSON’S REQUEST:
FEEDBACK TO THIS
PEP TALK!
Pls. type in your
feedback in the chat
box during the open
forum and before we
adjourn!
Thank you!
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Empowerment
objective - for
laypeople to have an
essential
understanding of
Clinical Diagnostic
Algorithm for
Common Surface
Lumps in their health
management.
LET’S NOW HAVE A
GROUP PICTURE
TAKING BEFORE WE
START PEP TALK
PROPER IN 2
MINUTES!
Pls. turn on your
video!
Show your face!
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Empowerment
objective - for
laypeople to have an
essential
understanding of
Clinical Diagnostic
Algorithm for
Common Surface
Lumps in their health
management.
ROJoson PEP Talk
I have a Patient
Empowerment
Program in which I
like to empower the
lay people or
patients to take
control in the
management of
their health.
I started the PEP Talk
on May 15, 2021.
There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.
From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer depending on
our enthusiasm,
discipline and
perseverance.
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Empowerment
objective - for
laypeople to have an
essential
understanding of
Clinical Diagnostic
Algorithm for
Common Surface
Lumps in their health
management.
My PEP TALK today is
entitled:
Clinical Diagnostic
Algorithm for
Common Surface
Lumps
Contents
• What is a surface lump?
• How common is a surface lump?
• What is the importance of knowing how to
manage a surface lump?
• What is a clinical diagnostic algorithm?
• What is the importance of knowing the clinical
diagnostic algorithm of surface lump?
• What are the clinical diagnostic algorithms of
common surface lumps?
Disclaimer:
ROJoson PEP Talk
contains ROJoson’s
Thoughts,
Perceptions,
Opinions and
Recommendations
(TPORs) culled from
experiences of other
professionals and
ROJoson.
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
What is a surface lump?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
What is a surface lump?
A surface lump is a mass or bukol that is located
on the surface of the body, one that can be
touched, palpated and evaluated by the
examining fingers at least if not seen by the
naked eyes.
Some surface lumps can be seen and touched.
Some surface lumps cannot be seen but can be
touched or palpated.
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
What is a surface lump?
Examples of surface lumps:
• Lumps on the skin and soft tissues
• Lumps on the scalp, face and mouth
• Lumps on the thyroid gland and neck
• Lumps on the wall of the trunk and abdomen
• Lumps on the extremities
• Lumps on the anus
• Lumps on the breasts
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
What is a surface lump?
Examples of surface lumps:
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
What is a surface lump?
Examples of surface lumps:
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
What is a surface lump?
Examples of surface lumps:
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
What is a surface lump?
Examples of surface lumps:
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
What is a surface lump?
Examples of surface lumps:
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
What is a surface lump?
Examples of surface lumps:
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
What is a surface lump?
Examples of surface lumps:
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
What is a surface lump?
Examples of surface lumps:
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
l
How common is a surface lump?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
pa
How common is a surface lump?
Common to the point of very common!
Because all of these parts of the human body can
give rise to a surface lump.
• skin and soft tissues
• scalp, face and mouth
• thyroid gland and neck
• wall of the trunk and abdomen
• extremities
• anus
• breasts
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
l
What is the importance of knowing how to
manage a surface lump?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
l
What is the importance of knowing how to manage
a surface lump?
Not only are surface lumps being very common.
They cause instant anxiety once a surface lump is
discovered. First reaction is usually, “Oh no, baka I
have cancer na.”
For all surface lumps, the first question to answer is
what is it. While trying to get the diagnosis, one
cannot help but think (and worry) that all surface
lumps have the possibility of being cancer.
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
To allay snd
shorten the instant
anxiety, because
the surface lumps
may not be cancer
afterall, all
laypeople should
be empowered to
know the cues for
non-cancers beside
knowing the cues
for cancer.
l
What is the importance of knowing how to manage
a surface lump?
Not only are surface lumps are common.
They cause instant anxiety once a surface lump is
discovered. First reaction is usually, “Oh no, baka I
have cancer na.”
For all surface lumps, the first question to answer is
what is it. While trying to get the diagnosis, one
cannot help but think (and worry) that all surface
lumps have the possibility of being cancer.
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
To allay snd
shorten the instant
anxiety, because
the surface lumps
may not be cancer
afterall, all
laypeople should
be empowered to
know the cues for
non-cancers beside
knowing the cues
for cancer.
Main reason for this ROJoson PEP Talk.
u
What is a clinical diagnostic algorithm?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
s
What is a clinical diagnostic algorithm?
Because a surface lump can be cancer or not
cancer, a layperson should be empowered to
know the cues for cancer and not cancer based
on looking and palpating.
The clinical diagnostic algorithm will guide the
laypeople on how to recognize cancer / not
cancer in surface lumps, just based on looking
and palpating (CLINICAL).
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Clinical diagnostic
algorithm of surface
lumps is the process
of making a
diagnosis based
mainly on
recognition of
patterns (or cues) for
cancer and not
cancer.
um
What is the importance of knowing the clinical
diagnostic algorithm of surface lumps?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
What is the importance of knowing the clinical
diagnostic algorithm of surface lumps?
So that
• fear can be allayed as soon as possible once a
surface lump appears or develops (if laypeople
know the cues for cancer and not cancer.
• laypeople knows when to consult a physician.
• early consult with a physician may be
promoted.
• early diagnosis and treatment may be
promoted.
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
What are the clinical diagnostic algorithms of
common surface lumps?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
What are the clinical diagnostic algorithms of
common surface lumps?
First review or know the definition of a surface
lump:
A surface lump is a mass or bukol that is located
on the surface of the body, one that can be
touched, palpated and evaluated by the
examining fingers at least if not seen by the
naked eyes.
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
What are the clinical diagnostic algorithms of
common surface lumps?
Foremost question to answer: based on palpation
by the examining fingers of the person himself /
herself, is there a surface lump or not?
Remember this definition:
A surface lump is a mass or bukol that is located
on the surface of the body, one that can be
touched, palpated and evaluated by the
examining fingers at least if not seen by the
naked eyes.
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Surface lumps are
not induration or
thickening and are
not enlargement.
Surface lumps are
masses or bukol,
have 3 dimensional
configuration when
palpated.
May be round or
oval.
What are the clinical diagnostic algorithms of common
surface lumps?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Surface Lump
Yes No
A surface lump is a mass or bukol that is located on the
surface of the body, one that can be touched, palpated and
evaluated by the examining fingers at least if not seen by
the naked eyes.
Not induration or thickening and are not enlargement!
What are the clinical diagnostic algorithms of
common surface lumps?
If the answer is “yes, there is a surface lump,” the
next question to answer where is it LOCATED? On
which part of the body is the surface lump
LOCATED?
Head, scalp, face, mouth, neck, trunk,
extremities, anus, breast?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Depending on the
location of the surface
lump, the initial diagnosis
could be:
• Lump on the head
• Lump on the face
• Lump on the neck
• Lump on the trunk
(chest or abdominal)
• Lump on the
extremities (upper /
lower / hand, foot.
etc.)
• Lump on the anus
• Lump on the breast
What are the clinical diagnostic algorithms of common
surface lumps?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
(+) Surface Lump
Location
Depending on the
location of the surface
lump, the initial diagnosis
could be:
• Lump on the head
• Lump on the face
• Lump on the neck
• Lump on the trunk
(chest or abdominal)
• Lump on the
extremities (upper /
lower / hand, foot.
etc.)
• Lump on the anus
• Lump on the breast
What is a surface lump?
Examples of surface lumps:
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Lump on the scalp Lump on the face
What is a surface lump?
Examples of surface lumps:
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Lump on the breast
What are the clinical diagnostic algorithms of common
surface lumps?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
(+) Surface Lump
Location
Depending on the
location of the surface
lump, the initial diagnosis
could be:
• Lump on the head
• Lump on the face
• Lump on the neck
• Lump on the trunk
(chest or abdominal)
• Lump on the
extremities (upper /
lower / hand, foot.
etc.)
• Lump on the anus
• Lump on the breast
Palpate to
determine
whether
arising from a
BONE or not
If bony hard,
BONE lumps
If not bony hard, NOT BONE lumps, may be SKIN and SOFT
TISSUE lumps, soft organ lumps such as breast, lymph nodes,
etc.
Ex.
• Skull tumors
• Facial bone tumors
• Chest or rib tumors
• Extremity bone
tumors
What are the clinical diagnostic algorithms of common
surface lumps?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
(+) Surface Lump
Location
Depending on the
location of the surface
lump, the initial diagnosis
could be:
• Lump on the head
• Lump on the face
• Lump on the neck
• Lump on the trunk
(chest or abdominal)
• Lump on the
extremities (upper /
lower / hand, foot.
etc.)
• Lump on the anus
• Lump on the breast
If not BONE
lump
SKIN lump
SOFT TISSUE lump, e.g. lump from
fatty tissue, from muscle
SOFT ORGAN lump, e.g. lymph nodes,
thyroid lump, parotid lump, breast
lump, etc.
What is a surface lump?
Examples of surface lumps:
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Skin lump Soft tissue lump
What is a surface lump?
Examples of surface lumps:
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Soft organ lumps
Lymph node lump
Parotid lump
Thyroid lump
What are the clinical diagnostic algorithms of common
surface lumps?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
(+) Surface Lump
Location
Depending on the
location of the surface
lump, the initial diagnosis
could be:
• Lump on the head
• Lump on the face
• Lump on the neck
• Lump on the trunk
(chest or abdominal)
• Lump on the
extremities (upper /
lower / hand, foot.
etc.)
• Lump on the anus
• Lump on the breast
BONE Lump NON-BONE Lump
• SKIN lump
• SOFT TISSUE Lump
• SOFT ORGAN Lump
CANCER or NOT CANCER?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Signs of Inflammation
PUS
REDNESS
TENDERNESS
WARMTH
If positive
Diagnosis:
Inflammatory /
infectious lump
NOT CANCER
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Signs of Inflammation
PUS
REDNESS
TENDERNESS
WARMTH
If positive
Diagnosis:
Inflammatory /
infectious lump
NOT CANCER
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Signs of Inflammation
PUS
REDNESS
TENDERNESS
WARMTH
If positive
Diagnosis:
Inflammatory /
infectious lump
NOT CANCER
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Signs of Malignancy or Cancer
Invasion of adjacent tissues (such as skin and muscle and bone)
– ulcerations / fixation
Presence of spread to lymph nodes and distant organs
Cystic lump (contains fluid)
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Signs of Malignancy or Cancer
Invasion of adjacent tissues – ulcerations / fixation
Presence of spread to lymph nodes and distant
organs
Cystic lump (contains fluid)
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Signs of Malignancy or Cancer
Invasion of adjacent tissues – ulcerations / fixation
Presence of spread to lymph nodes and distant
organs
Cystic lump (contains fluid)
What are the clinical diagnostic algorithms of common
surface lumps?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
(+) Surface Lump
Location
Depending on the
location of the surface
lump, the initial diagnosis
could be:
• Lump on the head
• Lump on the face
• Lump on the neck
• Lump on the trunk
(chest or abdominal)
• Lump on the
extremities (upper /
lower / hand, foot.
etc.)
• Lump on the anus
• Lump on the breast
BONE Lump NON-BONE Lump
• SKIN lump
• SOFT TISSUE Lump
• SOFT ORGAN Lump
CANCER or NOT CANCER?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Summary
Take Away
Contents
• What is a surface lump?
• How common is a surface lump?
• What is the importance of knowing how to
manage a surface lump?
• What is a clinical diagnostic algorithm?
• What is the importance of knowing the clinical
diagnostic algorithm of surface lump?
• What are the clinical diagnostic algorithms of
common surface lumps?
What is the importance of knowing the clinical
diagnostic algorithm of surface lumps?
So that
• fear can be allayed as soon as possible once a
surface lump appears or develops (if laypeople
know the cues for cancer and not cancer.
• laypeople knows when to consult a physician.
• early consult with a physician may be
promoted.
• early diagnosis and treatment may be
promoted.
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Be always in touch with reliable medical
information on Clinical Diagnostic
Algorithm for Common Surface Lumps!
Knowledge is power; it gives power.
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan to gain greater control over
decisions / make better decisions on
Clinical Diagnostic Algorithm for Common
Surface Lumps in your health
management.
Take Away in
relation to
Patient
Empowerment
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Empowerment
objective - for
laypeople to have an
essential
understanding of
Clinical Diagnostic
Algorithm for
Common Surface
Lumps in their health
management.
Reminder after the PEP
Talk:
Take the Online Learning
cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.
Link is in Chat Box.
Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Empowerment
objective - for
laypeople to have an
essential
understanding of
Clinical Diagnostic
Algorithm for
Common Surface
Lumps in their health
management.
ROJOSON’S REQUEST:
FEEDBACK TO THIS
PEP TALK!
Pls. type in your
feedback in the chat
box during the open
forum and before we
adjourn!
Thank you!
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Empowerment
objective - for
laypeople to have an
essential
understanding of
Clinical Diagnostic
Algorithm for
Common Surface
Lumps in their health
management.
LET’S NOW HAVE A
GROUP PICTURE
TAKING BEFORE WE
START Q&A AND
INTERACTIONS!
Pls. turn on your
video!
Show your face!

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ROJoson PEP Talk: Clinical Diagnostic Algorithm for Common Surface Lumps

  • 1. Clinical Diagnostic Algorithm for Common Surface Lumps December 9, 2023 1400H - 1500H Via Zoom Empowerment objective - for laypeople to have an essential understanding of Clinical Diagnostic Algorithm for Common Surface Lumps in their health management.
  • 2. Clinical Diagnostic Algorithm for Common Surface Lumps Empowerment objective - for laypeople to have an essential understanding of Clinical Diagnostic Algorithm for Common Surface Lumps in their health management. Welcome all! MUTE yourself but always show your video picture. Sign in your name, FB account, or email address in the Chat Box! Include names of companions attending. Use the Chat Box to ask questions and make comments while the PEP TALK is on. There will be group pictures at start and end of PEP TALK – show your face in video. December 9, 2023 1400H - 1500H Via Zoom
  • 3. Reminder after the PEP Talk: Take the Online Learning cum Evaluation Test Exercise (OLETE) for mastery of learning and have a perfect score to get a Certificate. Link is in Chat Box.
  • 4. Reminder: 50 OLETE Certificates = 1 Voucher for ROJoson Telemedical Consultation
  • 5. Clinical Diagnostic Algorithm for Common Surface Lumps Empowerment objective - for laypeople to have an essential understanding of Clinical Diagnostic Algorithm for Common Surface Lumps in their health management. ROJOSON’S REQUEST: FEEDBACK TO THIS PEP TALK! Pls. type in your feedback in the chat box during the open forum and before we adjourn! Thank you!
  • 6. Clinical Diagnostic Algorithm for Common Surface Lumps Empowerment objective - for laypeople to have an essential understanding of Clinical Diagnostic Algorithm for Common Surface Lumps in their health management. LET’S NOW HAVE A GROUP PICTURE TAKING BEFORE WE START PEP TALK PROPER IN 2 MINUTES! Pls. turn on your video! Show your face!
  • 7. Clinical Diagnostic Algorithm for Common Surface Lumps Empowerment objective - for laypeople to have an essential understanding of Clinical Diagnostic Algorithm for Common Surface Lumps in their health management. ROJoson PEP Talk I have a Patient Empowerment Program in which I like to empower the lay people or patients to take control in the management of their health.
  • 8. I started the PEP Talk on May 15, 2021. There are 3 courses in the PEP Talk. I completed the Core Course on October 9, 2021.
  • 9. From October 23, 2021 onwards, I have been tackling Health Disorder and Health Issue Courses. This may take 3 years or longer depending on our enthusiasm, discipline and perseverance.
  • 10. Clinical Diagnostic Algorithm for Common Surface Lumps Empowerment objective - for laypeople to have an essential understanding of Clinical Diagnostic Algorithm for Common Surface Lumps in their health management. My PEP TALK today is entitled: Clinical Diagnostic Algorithm for Common Surface Lumps
  • 11. Contents • What is a surface lump? • How common is a surface lump? • What is the importance of knowing how to manage a surface lump? • What is a clinical diagnostic algorithm? • What is the importance of knowing the clinical diagnostic algorithm of surface lump? • What are the clinical diagnostic algorithms of common surface lumps? Disclaimer: ROJoson PEP Talk contains ROJoson’s Thoughts, Perceptions, Opinions and Recommendations (TPORs) culled from experiences of other professionals and ROJoson. Clinical Diagnostic Algorithm for Common Surface Lumps
  • 12. What is a surface lump? Clinical Diagnostic Algorithm for Common Surface Lumps
  • 13. What is a surface lump? A surface lump is a mass or bukol that is located on the surface of the body, one that can be touched, palpated and evaluated by the examining fingers at least if not seen by the naked eyes. Some surface lumps can be seen and touched. Some surface lumps cannot be seen but can be touched or palpated. Clinical Diagnostic Algorithm for Common Surface Lumps
  • 14. What is a surface lump? Examples of surface lumps: • Lumps on the skin and soft tissues • Lumps on the scalp, face and mouth • Lumps on the thyroid gland and neck • Lumps on the wall of the trunk and abdomen • Lumps on the extremities • Lumps on the anus • Lumps on the breasts Clinical Diagnostic Algorithm for Common Surface Lumps
  • 15. What is a surface lump? Examples of surface lumps: Clinical Diagnostic Algorithm for Common Surface Lumps
  • 16. What is a surface lump? Examples of surface lumps: Clinical Diagnostic Algorithm for Common Surface Lumps
  • 17. What is a surface lump? Examples of surface lumps: Clinical Diagnostic Algorithm for Common Surface Lumps
  • 18. What is a surface lump? Examples of surface lumps: Clinical Diagnostic Algorithm for Common Surface Lumps
  • 19. What is a surface lump? Examples of surface lumps: Clinical Diagnostic Algorithm for Common Surface Lumps
  • 20. What is a surface lump? Examples of surface lumps: Clinical Diagnostic Algorithm for Common Surface Lumps
  • 21. What is a surface lump? Examples of surface lumps: Clinical Diagnostic Algorithm for Common Surface Lumps
  • 22. What is a surface lump? Examples of surface lumps: Clinical Diagnostic Algorithm for Common Surface Lumps
  • 23. l How common is a surface lump? Clinical Diagnostic Algorithm for Common Surface Lumps
  • 24. pa How common is a surface lump? Common to the point of very common! Because all of these parts of the human body can give rise to a surface lump. • skin and soft tissues • scalp, face and mouth • thyroid gland and neck • wall of the trunk and abdomen • extremities • anus • breasts Clinical Diagnostic Algorithm for Common Surface Lumps
  • 25. l What is the importance of knowing how to manage a surface lump? Clinical Diagnostic Algorithm for Common Surface Lumps
  • 26. l What is the importance of knowing how to manage a surface lump? Not only are surface lumps being very common. They cause instant anxiety once a surface lump is discovered. First reaction is usually, “Oh no, baka I have cancer na.” For all surface lumps, the first question to answer is what is it. While trying to get the diagnosis, one cannot help but think (and worry) that all surface lumps have the possibility of being cancer. Clinical Diagnostic Algorithm for Common Surface Lumps To allay snd shorten the instant anxiety, because the surface lumps may not be cancer afterall, all laypeople should be empowered to know the cues for non-cancers beside knowing the cues for cancer.
  • 27. l What is the importance of knowing how to manage a surface lump? Not only are surface lumps are common. They cause instant anxiety once a surface lump is discovered. First reaction is usually, “Oh no, baka I have cancer na.” For all surface lumps, the first question to answer is what is it. While trying to get the diagnosis, one cannot help but think (and worry) that all surface lumps have the possibility of being cancer. Clinical Diagnostic Algorithm for Common Surface Lumps To allay snd shorten the instant anxiety, because the surface lumps may not be cancer afterall, all laypeople should be empowered to know the cues for non-cancers beside knowing the cues for cancer. Main reason for this ROJoson PEP Talk.
  • 28. u What is a clinical diagnostic algorithm? Clinical Diagnostic Algorithm for Common Surface Lumps
  • 29. s What is a clinical diagnostic algorithm? Because a surface lump can be cancer or not cancer, a layperson should be empowered to know the cues for cancer and not cancer based on looking and palpating. The clinical diagnostic algorithm will guide the laypeople on how to recognize cancer / not cancer in surface lumps, just based on looking and palpating (CLINICAL). Clinical Diagnostic Algorithm for Common Surface Lumps Clinical diagnostic algorithm of surface lumps is the process of making a diagnosis based mainly on recognition of patterns (or cues) for cancer and not cancer.
  • 30. um What is the importance of knowing the clinical diagnostic algorithm of surface lumps? Clinical Diagnostic Algorithm for Common Surface Lumps
  • 31. What is the importance of knowing the clinical diagnostic algorithm of surface lumps? So that • fear can be allayed as soon as possible once a surface lump appears or develops (if laypeople know the cues for cancer and not cancer. • laypeople knows when to consult a physician. • early consult with a physician may be promoted. • early diagnosis and treatment may be promoted. Clinical Diagnostic Algorithm for Common Surface Lumps
  • 32. What are the clinical diagnostic algorithms of common surface lumps? Clinical Diagnostic Algorithm for Common Surface Lumps
  • 33. What are the clinical diagnostic algorithms of common surface lumps? First review or know the definition of a surface lump: A surface lump is a mass or bukol that is located on the surface of the body, one that can be touched, palpated and evaluated by the examining fingers at least if not seen by the naked eyes. Clinical Diagnostic Algorithm for Common Surface Lumps
  • 34. What are the clinical diagnostic algorithms of common surface lumps? Foremost question to answer: based on palpation by the examining fingers of the person himself / herself, is there a surface lump or not? Remember this definition: A surface lump is a mass or bukol that is located on the surface of the body, one that can be touched, palpated and evaluated by the examining fingers at least if not seen by the naked eyes. Clinical Diagnostic Algorithm for Common Surface Lumps Surface lumps are not induration or thickening and are not enlargement. Surface lumps are masses or bukol, have 3 dimensional configuration when palpated. May be round or oval.
  • 35. What are the clinical diagnostic algorithms of common surface lumps? Clinical Diagnostic Algorithm for Common Surface Lumps Surface Lump Yes No A surface lump is a mass or bukol that is located on the surface of the body, one that can be touched, palpated and evaluated by the examining fingers at least if not seen by the naked eyes. Not induration or thickening and are not enlargement!
  • 36. What are the clinical diagnostic algorithms of common surface lumps? If the answer is “yes, there is a surface lump,” the next question to answer where is it LOCATED? On which part of the body is the surface lump LOCATED? Head, scalp, face, mouth, neck, trunk, extremities, anus, breast? Clinical Diagnostic Algorithm for Common Surface Lumps Depending on the location of the surface lump, the initial diagnosis could be: • Lump on the head • Lump on the face • Lump on the neck • Lump on the trunk (chest or abdominal) • Lump on the extremities (upper / lower / hand, foot. etc.) • Lump on the anus • Lump on the breast
  • 37. What are the clinical diagnostic algorithms of common surface lumps? Clinical Diagnostic Algorithm for Common Surface Lumps (+) Surface Lump Location Depending on the location of the surface lump, the initial diagnosis could be: • Lump on the head • Lump on the face • Lump on the neck • Lump on the trunk (chest or abdominal) • Lump on the extremities (upper / lower / hand, foot. etc.) • Lump on the anus • Lump on the breast
  • 38. What is a surface lump? Examples of surface lumps: Clinical Diagnostic Algorithm for Common Surface Lumps Lump on the scalp Lump on the face
  • 39. What is a surface lump? Examples of surface lumps: Clinical Diagnostic Algorithm for Common Surface Lumps Lump on the breast
  • 40. What are the clinical diagnostic algorithms of common surface lumps? Clinical Diagnostic Algorithm for Common Surface Lumps (+) Surface Lump Location Depending on the location of the surface lump, the initial diagnosis could be: • Lump on the head • Lump on the face • Lump on the neck • Lump on the trunk (chest or abdominal) • Lump on the extremities (upper / lower / hand, foot. etc.) • Lump on the anus • Lump on the breast Palpate to determine whether arising from a BONE or not If bony hard, BONE lumps If not bony hard, NOT BONE lumps, may be SKIN and SOFT TISSUE lumps, soft organ lumps such as breast, lymph nodes, etc. Ex. • Skull tumors • Facial bone tumors • Chest or rib tumors • Extremity bone tumors
  • 41. What are the clinical diagnostic algorithms of common surface lumps? Clinical Diagnostic Algorithm for Common Surface Lumps (+) Surface Lump Location Depending on the location of the surface lump, the initial diagnosis could be: • Lump on the head • Lump on the face • Lump on the neck • Lump on the trunk (chest or abdominal) • Lump on the extremities (upper / lower / hand, foot. etc.) • Lump on the anus • Lump on the breast If not BONE lump SKIN lump SOFT TISSUE lump, e.g. lump from fatty tissue, from muscle SOFT ORGAN lump, e.g. lymph nodes, thyroid lump, parotid lump, breast lump, etc.
  • 42. What is a surface lump? Examples of surface lumps: Clinical Diagnostic Algorithm for Common Surface Lumps Skin lump Soft tissue lump
  • 43. What is a surface lump? Examples of surface lumps: Clinical Diagnostic Algorithm for Common Surface Lumps Soft organ lumps Lymph node lump Parotid lump Thyroid lump
  • 44. What are the clinical diagnostic algorithms of common surface lumps? Clinical Diagnostic Algorithm for Common Surface Lumps (+) Surface Lump Location Depending on the location of the surface lump, the initial diagnosis could be: • Lump on the head • Lump on the face • Lump on the neck • Lump on the trunk (chest or abdominal) • Lump on the extremities (upper / lower / hand, foot. etc.) • Lump on the anus • Lump on the breast BONE Lump NON-BONE Lump • SKIN lump • SOFT TISSUE Lump • SOFT ORGAN Lump CANCER or NOT CANCER?
  • 46. Clinical Diagnostic Algorithm for Common Surface Lumps Signs of Inflammation PUS REDNESS TENDERNESS WARMTH If positive Diagnosis: Inflammatory / infectious lump NOT CANCER
  • 47. Clinical Diagnostic Algorithm for Common Surface Lumps Signs of Inflammation PUS REDNESS TENDERNESS WARMTH If positive Diagnosis: Inflammatory / infectious lump NOT CANCER
  • 48. Clinical Diagnostic Algorithm for Common Surface Lumps Signs of Inflammation PUS REDNESS TENDERNESS WARMTH If positive Diagnosis: Inflammatory / infectious lump NOT CANCER
  • 49. Clinical Diagnostic Algorithm for Common Surface Lumps Signs of Malignancy or Cancer Invasion of adjacent tissues (such as skin and muscle and bone) – ulcerations / fixation Presence of spread to lymph nodes and distant organs Cystic lump (contains fluid)
  • 50. Clinical Diagnostic Algorithm for Common Surface Lumps Signs of Malignancy or Cancer Invasion of adjacent tissues – ulcerations / fixation Presence of spread to lymph nodes and distant organs Cystic lump (contains fluid)
  • 51. Clinical Diagnostic Algorithm for Common Surface Lumps Signs of Malignancy or Cancer Invasion of adjacent tissues – ulcerations / fixation Presence of spread to lymph nodes and distant organs Cystic lump (contains fluid)
  • 52. What are the clinical diagnostic algorithms of common surface lumps? Clinical Diagnostic Algorithm for Common Surface Lumps (+) Surface Lump Location Depending on the location of the surface lump, the initial diagnosis could be: • Lump on the head • Lump on the face • Lump on the neck • Lump on the trunk (chest or abdominal) • Lump on the extremities (upper / lower / hand, foot. etc.) • Lump on the anus • Lump on the breast BONE Lump NON-BONE Lump • SKIN lump • SOFT TISSUE Lump • SOFT ORGAN Lump CANCER or NOT CANCER?
  • 65. Clinical Diagnostic Algorithm for Common Surface Lumps Summary Take Away Contents • What is a surface lump? • How common is a surface lump? • What is the importance of knowing how to manage a surface lump? • What is a clinical diagnostic algorithm? • What is the importance of knowing the clinical diagnostic algorithm of surface lump? • What are the clinical diagnostic algorithms of common surface lumps?
  • 66. What is the importance of knowing the clinical diagnostic algorithm of surface lumps? So that • fear can be allayed as soon as possible once a surface lump appears or develops (if laypeople know the cues for cancer and not cancer. • laypeople knows when to consult a physician. • early consult with a physician may be promoted. • early diagnosis and treatment may be promoted. Clinical Diagnostic Algorithm for Common Surface Lumps
  • 67. Clinical Diagnostic Algorithm for Common Surface Lumps Be always in touch with reliable medical information on Clinical Diagnostic Algorithm for Common Surface Lumps! Knowledge is power; it gives power. Use the 4Ks of Patient Empowerment: Kaalaman, Kakayanan, Karapatan and Kapangyarihan to gain greater control over decisions / make better decisions on Clinical Diagnostic Algorithm for Common Surface Lumps in your health management. Take Away in relation to Patient Empowerment
  • 68. Clinical Diagnostic Algorithm for Common Surface Lumps Empowerment objective - for laypeople to have an essential understanding of Clinical Diagnostic Algorithm for Common Surface Lumps in their health management.
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