Lump Examination check list

1. Start
2. Examination proper
3. Finish

Start Introduce yourself

Consent
Ask name age
Complain
Disability
Comorbidities
Dominant hand
Occupation
Exposure
Privacy
chaperone

Examination proper
Site
1. Inspection
Shape – hemispheriacal/irregular
Size- cm×cm
Surface smooth, irregular,lobulated
Skin - Erythema, Reddish
Bluish Sebaceoues cyst
Punctum sebaceous cyst
Surrounding – margin well/ill defined
Surgical scar
Shape – hemispheriacal/irregular
Size- cm×cm
Surface smooth, irregular,lobulated
Skin - Erythema, Reddish
Bluish Sebaceoues cyst
 Punctum sebaceous cyst
Golden rule Ask for pain
2. Palpation
Look at patient face for tenderness
Temperature over the lump
Tissue plain – Skin, mucle,bone
Skin
Bone
Muscle – contract and see
Consistency – Cystic- Fluid inside
Fluctuation
Solid - Soft
Firm
Hard
Pulsatile or not
If pulsatile Artery or adjacent
Compressible/reducible
Surrounding area

proximal

Distal

Artery – capillary filling

Nerve - power

Lymphatic-

If pulsatile auscultate
If pulsatile auscultate

Cover expose area

Thank Patient

For examination technique visit http://dapalan.com/NBFX