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afya Neck lumps

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20160425222501 Ben  
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''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