Dentosphere : World of Dentistry

THYROGLOSSAL CYST  # A teenage girl comes to you in surgery OPD with a 4 cm size swelling on the right side of neck just medial to the anterior border of sternocleidomastoid at the level of the upper border of the thyroid cartilage. She has no complaints except mild pain at the time of mastication.  1. List 3 differential diagnosis. Thyroglossal cyst  Branchial cyst  Enlarged lymph node (at the level of thyroid cartilage, the thyroglossal cyst may be pushed slightly towards one side) 

BREAST ABSCESS  # A 25 year lactating mother, weighing 45 kgs presents in surgical OPD with complaints of painful  swelling of right breast and fever for last 12 hours, on clinical examination, breast is engorged, there is erythema, tenderness and induration in the upper inner quadrant of breast. The swelling does not yield pus on needle aspiration  1. State the most likely diagnosis. -  Acute lactational mastitis

Head Injury # A 32-year-old man was brought to the emergency by the police with history of a bike accident 3  hours ago. On examination he was confused and a lacerated wound was present on the scalp. His pulse was 120 bpm and BP 80 / 40 mm Hg.  1. Perform a primary survey on the patient.   - Write about ABCDE (Don't miss C spine collar in Airway and  Opening 2 wide bore IV cannula).

FEMORAL HERNIA  #  A 59-year-old obese woman presented with swelling in the right groin.  1. List some causes of groin swelling.  - Inguinal Hernia (direct, indirect) - femoral hernia,  - enlarged lymph nodes,  - psoas abscess,  - saphena varix,  - lipoma,  - enlarged femoral lymph node,  - psoas abscess,  - femoral artery aneurysm 

 TUBERCULAR LYMPHADENITIS  A teenage boy comes to you with multiple swelling on the neck which is around the SCM. a. Mention the important points which you would like to ask during history taking from this patient. - Presence of chest symptoms: cough, sputum production, hemoptysis - Presence of constitutional symptoms- fever, night sweats, weight loss - Presence of similar history in other family members or any members having or  previously had Tuberculosis - Any treatment history b. Write the examination points.  i. General: pulse, temperature, Respiratory rate, BP ii. Look for similar swellings in other areas iii. Local examination: - Inspection: Site, number, size, shape, overlying skin, movement with deglutition, movement with protrusion of tongue, pulsations - Palpation: a local rise of temperature, tenderness. Size, shape, surface, consistency,  margins, mobility, compressibility, fluctuation, fixity to skin or underlying structures, c...

CLICK THE SELECTED MEQs TOPIC YOU'D LIKE TO VIEW. 1. Wound 2. Warthin's Tumor 3. Tubercular Lymphadenitis 4. Femoral Hernia 5. Head Injury 6. Breast Abscess 7. Thyroglossal Cyst