Lumps and Ulcers

1
Lumps and Ulcers
2
Lumps History

• When first noticed?
• What made patient notice the lump?
• Symptoms of the lump?
• Change since first noticed?
• Does it ever disappear?
• Any other previous lumps?
• Does patient know the cause?

3
Lumps Examination 1

• Exact position
• Colour and texture of skin
• Temperature
• Tenderness
• Shape
• Size
• Surface

4
Lumps Examination 2

• Edge
• Composition
• Reducibility
• Relation to surrounding structures
• Regional lymph nodes
• Local tissues
• Always examine the whole patient!

5
(No Transcript)
6
(No Transcript)
7
(No Transcript)
8
Lumps Composition 1

• Consistence Stony hard
• Rubbery
• Spongy
• Soft
• Fluctuation
• Fluid thrill
• Translucency

9
Lumps Composition 2

• Resonance
• Pulsatility
• Compressibility
• Bruits

10
Ulcer History

• When first noticed?
• What made patient notice the ulcer?
• Symptoms of the ulcer?
• Change since first noticed?
• Any other previous ulcers?
• Does patient know the cause?

11
Ulcer Examination 1

• Position
• Shape (Draw)
• Size
• Colour
• Tenderness
• Temperature

12
Ulcer Examination 2

• Base
• Edge Sloping
• Punched-out
• Undermined
• Rolled
• Everted
• Depth (mm and anatomically)

13
(No Transcript)
14
Ulcer Examination 3

• Discharge (?offensive)
• Relations
• Lymph nodes
• State of local tissues Blood Supply
• Innervation
• Skin signs
• Always examine the whole patient!

15
(No Transcript)
16
(No Transcript)
17
(No Transcript)
18
(No Transcript)
19
(No Transcript)
20
(No Transcript)
21
(No Transcript)
22
(No Transcript)