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Symptoms » Enlarged testicle » Book Sections
 

NECK SWELLING

Ask the Following Questions:

  1. Is it focal or diffuse? Focal masses or swellings may be thyroglossal cyst, branchial cleft cyst, aneurysm, an enlarged lymph node due to Hodgkin's disease, metastatic carcinoma, sarcoidosis, a cystic hygroma, carotid body tumor, Riedel's struma, and thyroid adenomas and carcinomas. Diffuse masses would be Graves' disease, subacute thyroiditis, superior vena cava syndrome, nontoxic goiter, venous distention of congestive heart failure or superior vena cava syndrome, and subcutaneous emphysema.
  2. If the lesion is focal, is it in the midline or lateral to the midline? Midline masses are thyroglossal cysts, adenoma of the thyroid, Riedel's struma, and thyroid cyst. Lateral masses include a pharyngeal pouch, bronchial cyst, pulsion diverticulum, stone of Wharton's duct, Virchow's node, cervical rib, metastatic lymph nodes or Hodgkin's lymphoma, metastatic carcinoma, cystic hygroma, carotid body tumor, and some thyroid masses.
  3. Is the swelling intermittent? The presence of an intermittent swelling suggests a pulsion diverticulum, venous distention of congestive heart failure, a bronchial cyst, a stone of Wharton's duct, and aneurysms.
  4. Is there crepitus? Subcutaneous crepitus is present in subcutaneous emphysema.
  5. Is the swelling associated with a tremor or tachycardia? The presence of tremor or tachycardia would make one think of Graves' disease and subacute thyroiditis.

DIAGNOSTIC WORKUP

Routine tests include a CBC, sedimentation rate, urinalysis, chemistry panel, thyroid profile, chest x-ray, and EKG.

Measurement of venous pressure and circulation time and pulmonary function studies will help differentiate congestive heart failure. A radioactive iodine uptake and scan will help differentiate thyroid tumors and enlargements. Ultrasound and needle aspiration will be needed in differentiating cystic adenomas. A lymph node biopsy will be useful in diagnosing sarcoidosis, lymphomas, and metastatic carcinoma. Esophagogram will help detect Zenker's diverticulum. Angiography will be useful in diagnosing aortic aneurysms, innominate aneurysms, and subclavian aneurysms. A CT scan of the mediastinum will help diagnose superior vena cava syndrome.

 

Book Source Details

  • Book Title: Algorithmic Diagnosis of Symptoms and Signs
  • Author(s): R. Douglas Collins
  • Year of Publication: 2003
  • Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2003 Lippincott Williams & Wilkins.

Other Book Chapters Related to Enlarged testicle

Read excerpts from these other book chapters related to Enlarged testicle:

Medical Books Excerpts
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  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • Scrotal swelling
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
 

Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2008 Williams & Wilkins.

More About Causes of Enlarged testicle




More About This Book:
Title: Algorithmic Diagnosis of Symptoms and Signs
Authors: R. Douglas Collins
Publisher: Lippincott Williams & Wilkins
Copyright: 2003
ISBN: 0-7817-3805-9

 » Next page: POPLITEAL SWELLING (Algorithmic Diagnosis of Symptoms and Signs)

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