Swelling

 HISTORY:

1.Duration

2.Mode of onset

3.Associated symptoms 

4.Pain

5.Progression

6.Exact site

7.Fever

8.Other lumps

9.Secondary changes

10.Impairment of function

11.Recurrence of swelling 

12.Loss of body weight

EXAMINATION:

I.INSPECTION:

1.Site

2.Colour 

3.Shape

4.Size

5.Surface

6.Edge

7.Number

8.Pulsation

9.Peristalsis 

10.Movement with respiration 

11.Impulse on Coughing

12.Movement on deglutition

13.Movement with protrusion of tongue

14.Skin over the swelling

15.Any pressure effect

B.PALPITATION:

1.Temperature 

2.Tenderness

3.Size,Shape,Extent

4.Surface

5.Edge

6.Consistency 

7.Fluctuation 

8.Fluid thrill

9.Translucency 

10.Impulse on coughing

11.Reducibility

12.Compressibility 

13.Pulsatility

14.Fixity to the overlying skin

15.Relation to surrounding structures 

C.STATE OF REGIONAL LYMPH NODES

D.PERCUSSION

F.AUSCULTATION 

G.MEASUREMENTS 

H.MOVEMENTS