Neck mass: Difference between revisions
(Created page with "==Background== *Common complaint see in primary care medicine *Important to recognize acutely life threatening etiologies ==Clinical Features== *Enlarged neck lesions **Assoc...") |
No edit summary |
||
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
*Common complaint | *Common complaint seen in primary care medicine | ||
*Important to recognize acutely life threatening etiologies | *Important to recognize acutely life threatening etiologies, treatable disease, and potential for malignancy | ||
==Clinical Features== | ==Clinical Features== | ||
*Enlarged neck lesions | *Enlarged neck lesions | ||
**Associated symptoms based on etiology may include: | **Associated symptoms based on etiology may include: | ||
*** | ***Pain | ||
***Skin changes | ***Skin changes | ||
***Stridor | ***Stridor | ||
| Line 12: | Line 12: | ||
***Constitutional symptoms | ***Constitutional symptoms | ||
==Differential Diagnosis== | |||
*Acute | |||
**Infectious | |||
***Viral URI | |||
***EBV | |||
***CMV | |||
***Strep/staph | |||
***HIV | |||
***Toxoplasmosis | |||
***Bartonella | |||
***Tuberculosis | |||
**Sialadenitis | |||
**Hematoma | |||
**AV fistula | |||
**Parotid lymphadenopathy | |||
*Subacute | |||
**Squamous cell carcinoma | |||
**Amyloidosis | |||
**Lymphoma | |||
**Metastatic disease | |||
**Parotid tumor | |||
**Sarcoidosis | |||
**Sjögren syndrome | |||
*Chronic | |||
**Thyroid pathology | |||
**Branchial cleft cyst | |||
**Carotid body tumor | |||
**Glomus jugulare tumor | |||
**Glomus vagale tumor | |||
**Laryngocele | |||
**Lipoma | |||
**Thyroglossal duct cyst | |||
==Evaluation== | ==Evaluation== | ||
Revision as of 21:57, 11 August 2016
Background
- Common complaint seen in primary care medicine
- Important to recognize acutely life threatening etiologies, treatable disease, and potential for malignancy
Clinical Features
- Enlarged neck lesions
- Associated symptoms based on etiology may include:
- Pain
- Skin changes
- Stridor
- Hoarseness
- Constitutional symptoms
- Associated symptoms based on etiology may include:
Differential Diagnosis
- Acute
- Infectious
- Viral URI
- EBV
- CMV
- Strep/staph
- HIV
- Toxoplasmosis
- Bartonella
- Tuberculosis
- Sialadenitis
- Hematoma
- AV fistula
- Parotid lymphadenopathy
- Infectious
- Subacute
- Squamous cell carcinoma
- Amyloidosis
- Lymphoma
- Metastatic disease
- Parotid tumor
- Sarcoidosis
- Sjögren syndrome
- Chronic
- Thyroid pathology
- Branchial cleft cyst
- Carotid body tumor
- Glomus jugulare tumor
- Glomus vagale tumor
- Laryngocele
- Lipoma
- Thyroglossal duct cyst