1. Congenital neck masses are abnormal growths present from birth between the clavicles and mandible. The most common congenital neck mass is a thyroglossal cyst, which forms from a persistent thyroglossal duct during development.
2. Other congenital neck masses include branchial cysts, dermoid cysts, cystic hygromas, hamartomas, and teratomas.
3. Evaluation of congenital neck masses involves inspection, imaging like ultrasound or CT to determine if the mass is solid or cystic in nature, and biopsy if needed to arrive at a definitive diagnosis. Surgical excision is usually the treatment for congenital neck masses.
General features & management of Common neck lumps are described in this presentation. which are important for Medical students and ENT doctors.
Topics discussed in this presentation are
Cystic hygroma
Hemangioma
Branchial cyst
Thyroglossal cyst
Lipoma
Sebaceous cyst
Cervical lymphadenopathy
Tuberculosis
Carotid body tumor
Preauricular Cyst/Sinus
Lymphoma
this presentation discusses how to approach to the neck mass
and important DDx according to the site and age of onset
with clinical points about important etiologies
Neck Masses in children by doctor okto. Describing various neck masses and differential diagnoses in children. This helps in proper diagnosis and management especially for ENT surgeons. Download and learn.
General features & management of Common neck lumps are described in this presentation. which are important for Medical students and ENT doctors.
Topics discussed in this presentation are
Cystic hygroma
Hemangioma
Branchial cyst
Thyroglossal cyst
Lipoma
Sebaceous cyst
Cervical lymphadenopathy
Tuberculosis
Carotid body tumor
Preauricular Cyst/Sinus
Lymphoma
this presentation discusses how to approach to the neck mass
and important DDx according to the site and age of onset
with clinical points about important etiologies
Neck Masses in children by doctor okto. Describing various neck masses and differential diagnoses in children. This helps in proper diagnosis and management especially for ENT surgeons. Download and learn.
A presentation about an interesting case that came to the Radiology Department of Sebha Medical Center.
A 17 years old male, presented with a painful neck swelling, The swelling was first noticed 10 years ago and was small and painless then. In the last two months, the swelling increased in size and became painful and started to cause slight discomfort on swallowing.
The presentation contains 50 slides, and is divided into the following parts :
1 - The case
2 - Thyroglossal cysts
3 - Imaging Thyroglossal cysts
4 - Differential diagnoses
This presentation was prepared by me and I will present it today in sha Allah in the tutorials of the Radiology Department of Sebha Medical Center.
Congenital neck mass radiology pk final is very good power point presentation for radiologist, radiology resident, student and even ent surgeon or resident doctor.. Every disease of neck lesion is properly describe with multi usg, ct and MRI images. this will help a lot. thanks.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edit...kevinkariuki227
TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edition by Laurie Kennedy-Malone, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edition by Laurie Kennedy-Malone, Verified Chapters 1 - 19, Complete Newest Version.pdf
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Why invest into infodemic management in health emergenciesTina Purnat
A lecture discussing the challenge of health misinformation and information ecosystem in public health, how this impacts demand promotion in health, and how this then relates to responding to misinformation and infodemics in health emergencies. Appended with lots of tools, guidance and resources for people who want to do more reading.
US E-cigarette Summit: Taming the nicotine industrial complexClive Bates
I look back to 1997 and simpler time in tobacco control, then look at changes in trade, communications, technology and conclude the market is becoming ungovernable
4. Anatomy of the neck
• The sternocleidomastoid muscle divides each side of the neck
into 2 major triangles:
1. Anterior triangle (digastric & sup. Belly of omohyoid)
– Submandibular triangle
– Submental triangle
– Carotid triangle
– Muscular triangle
1. Posterior triangle (inf. Belly of omohyoid)
– Occiptal triangle
– Supraclavicular triangle
5. Anterior triangle
Borders:
1. Laterally: anterior border of the SCM
2. Medially: midline
3. Superiorly: lower border of the mandible
Posterior triangle
Borders:
• Anteriorly: posterior border of the SCM
• Inferiorly: clavicle
• Posteriorly: anterior border of trapezius muscle
17. THYROGLOSSAL CYST
• Fibrous cyst that forms from a
persistent thyroglossal duct
• Most common congenital neck mass
• Childhood
• Midline mass
• Elevated with tongue protrusion
• Painless (if infected painfull)
• Smooth and cystic
Presentations:
• Dysphagia.
• Breathing difficulty.
• Dyspepsia especially if large mass.
Rx:
• Total resection with central part of
hyoid bone to avoid recurrence.
18.
19.
20.
21.
22.
23. Branchial Cyst
• Remnants of embryonic
development
• Result from failure of obliteration
of the branchial cleft
• Cystic mass
• Develops under the skin between
SCM & pharynx.
Presentation:
• Asymptomatic (mostly)
• Painful if become infected.
Rx:
• Surgical excision
• Complete surgical excision may
be difficult, so they can recur.
24.
25.
26.
27.
28.
29.
30.
31.
32. Dermoid cyst
• Cystic teratoma
• Contains mature skin complete with hair follicles and sweat gland.
sometimes clumps of hair, and often pockets of sebum, blood, fat.
• Almost always benign and rarely malignant.
• Midline mass
• Not move with protruding the tongue
• Solid or hard in consistency.
• Usually limitted to the skin
Rx:
• Complete surgical removal.
33.
34. 1. Inspection :
a. site b. shape .
c. color . d. relation to swallowing.
e. relation to tongue protrusion .
Physical examination
35. Investigations
Rules of investigations:
1. Effective in Dx & or assessment of the disease.
2. Harmless.
3. Cost-effective.
4. Guided by medical suspecion.
Types of investigation:
1. Radiological
2. Labs
3. Endoscopy & biopsy
4. FNA (diagnostic)
36. Radiological
• X-ray (not helpful).
• Barium swallow in hypopharyngeal
diverticulum.
• US: differentiate btw solid & cystic masses
• CT: assessment of the mass itself.
• MRI: nature of the mass
38. CT
Benefits:
1.Distinguish cystic from solid
lesions.
2.Define the origin and full extent of
deep, ill-defined masses.
3.When used with contrast can
delineate vascularity or blood flow.
4.Detect an unknown primary
lesion.
5.To help with staging purposes.
Signs of metastatic carcinoma
•Lucent changes within nodes
•Size larger than 1.5cm
•Loss of sharpness of nodal borders are often.
39. MRI
• Provides much of the same
information as CT.
• It is currently better for upper neck
and skull base masses due to motion
artifact on CT.
• With contrast it is good for vascular
delineation and may even substitute
for arteriography in the pulsatile mass
or mass with a bruit or thrill.
41. Endoscopy & Biopsy
• Fibro-optic or rigid endoscopy
• Nose-larynx-pharynx-esophagus-mouth.
• Take biopsy:
– If u cannot find the primary lesion in the neck, take Bx
from suspected places.
• Base of the tongue.
• Tonsils.
• Nasopharynx.
• Pyriform fossa.
• Supraglottic.
42. • 90% of cases it gives true Dx.
• Could have false –ve or false +ve.
• Differentiate btw inflammatory & neoplastic masses.
43.
44. RADIONUCLEOTIDE SCANNING
• Differentiate a mass from
within or outside a glandular
structure.
• Also indicate the functionality
of the mass.
• Important for salivary and
suspected thyroid gland
masses.
45.
46. Cause Suggestive Findings Diagnostic Approach
Congenital disorders
Branchial cleft cyst Lateral mass
Usually overlying the
sternocleidomastoid muscle
Often with a sinus or fistula
Ultrasonography (children)
CT (adults)
Dermoid or sebaceous
cyst
Rubbery and nontender
(unless infected)
Thyroglossal duct cyst Midline, nontender mass
Other
Simple, nontoxic goiter Nontender diffuse thyroid
enlargement
Thyroid function testing
Thyroid scan
Subacute thyroiditis Fever, usually thyroid
tenderness and
enlargement
Ultrasonography