🌕 Lipoma
August 2, 2024
Often multiple lumps with smooth surface and spherical in shape with distinct irregular curve margins currosponding to the lobes. The “slipping sign” is not diagnostic.
Often multiple lumps with smooth surface and spherical in shape with distinct irregular curve margins currosponding to the lobes. The “slipping sign” is not diagnostic.
A Hemispherical discharging nodule which grows upwards and outwards following a minor trauma. Initailly bright red, then become pale when it doubles in size just in few days.
Miscellaneous # AAA Young hypertensive
Hand # Pointing index Mallet finger Wasting of small muscles Wrist drop Wrist lumps ganglion Claw hand CTS De Quervain’s Tenosynovitis Principles of hand examination # Principles include includes inspection palpation Feel Move Range of movement Ease of movement Inspection invisible scars over common surgical sites contour of the hand discoloration and sinuses. Also check muscle wasting, Thenar eminence Hypothenar eminence dorsal side of hand the muscle bulk between metacarpal bones which is interosseous muscle Palpation. ...
Foot # Halux valgus Ingrowing toenail Bunion
Other ortho shortcases # Forearm lumps Tendon injuries - Achilles heel Myositis ossificans Nerve injuries Osteosarcoma / bone tumour POP cast Colles/ AK POP Volkmann’s ischaemic contracture External fixator Complicated fracture POP
Limb # Foot ulcer Amputation stump AV malformation popliteal fossa Neuropathic sole ulcer Varicose veins Digital gangrene / Dry gangrene Unilateral limb swelling Chronic limb ulcer Pseudoaneurysm / AVF
Neck # Anterior triangle lump (Carotid triangle / sternomastoid) Carotid body tumour
Abdominal short cases # Incisional hernia abdominal mass Liver mets, ascites, Enterocutaneous fistula PUH Epigastric / RHC mass Liver Ca, Pancreas CA, Pseudocyst, Gastric CA RIF / LIF mass Urinary fistula Femoral hernia Inguinal hernia Ileostomy / Colostomy Chest short cases # Breast CA axillary lumps Breast lump / gynaecomastia Vesicular eruptions of chest Pancoast lump Chest wall lesions Hydradenitis Axillary lumps
Smooth tense spherical lump with a punctum presents for years. Often Multiple.