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afya
Neck lumps
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> ''Reactive LNs'' commonest cause Hx local infection or viral illness ''Lymphoma'' Rubbery painless LN pain while drinking alcohol is uncommon splenomegaly and night sweats ''Thyroid swelling'' Sx - may be hypo, eu or hyper thyroid moves up with swallowing ''Thyroglossal cyst'' <20yr, painful if infected midline between thyroid and hyoid, moves up with protrusion of tongue ''Pharnygeal pouch'' older men - posteromedial herniation between thyropharyngeus and cricopharyngeus usually not seen but maybe lump midline that gurgles on palpation dyshagia, regurg, aspiration, chronic cough ''Cystic hygroma'' congenital lymphangioma, classically left neck most visible at birth, 90% diagnosed by 2yrs ''branchial cyst'' oval mobile cystic mass between sternocleidomastoid and pharynx develop due to embryonic failure of obliteration of 2nd branchial cleft usually presents early adulthood ''Cervical rib'' adult females 10% thoracic outlet syndrome ''Carotid aneurysm'' pulsatile lateral neck lump, doesn't move on swallowing
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