NECK

LUMP/LYPHADENOP
ATH HX
Neck lump hx mnemonics
◦ OCDPAE SSCMD ASS. PCRAJ E ROS SOCIAL(JLFAS MARRIGAE CONTRACTING
RECREATION AND TRAVELS) MDF …..
◦ Onset: when did it start. month ago. week ago, or for long time
◦ c.COURSE. ACUTE VS CHRONIC VS EPISODIC ,is the same every day or its different
/progression is it getting worse
◦ D: DURATION : OVER HOW LONG
◦ P: PROGRESSION OVER TIME .IS IT GETTING WORSE
◦ A: aggravating factors: ALCOHAL SWEALLOWING EATING THINGS
◦ Reliving factors: OFFENDING DRUGS SLEEPING POSTURE CHANGES
◦ S: SITE : MIDLINE VS OTHER
◦ S: SHAPE:
◦ C: CONSISTANCY
◦ M: MOBLITY
◦ D: distribution in OTHER PLACES .OTHER LESIONS
◦ ROS:
◦ PCRAJ :
◦ P: pain
◦ C: constitutional symptoms
◦ R: rash
◦ J: joint pains
◦ ROS.ENT.CVS. CNS. NEUROLOGICAL PARESTHESIA IN UPPER LIMBS. ANESTHESIA.URINARY.
UPPER LIMBS WEAKNESS . RESP.COUGH. SOB.ENDOCRINE (THYROID)
◦ MEDICAL.OTHER MEDICAL CONDITIONS .MALOGNANCY CVS/HTN/DM/TB/HEPATITIS
/OTHER INFECTIONS (BLOOD DENTAK SURIGICAL TATTOING )
◦ DRUGS: MEDICARIONS . ALLUPURINOL PJHENYTOIN PENICCLIN
◦ FAMILY HX: SAME CONCITIONS.MEDICAL CONDITIONS.MALIGNANCY
◦
◦ SOCIAL: JLFAS MARRIAGE CONTRACTING Recreation AND travel:
◦ J: job. which where .occupational therapist. Impact on job or social interaction(social
worker)
◦ Living: whom. someone to help. Activities of daily living
◦ Finance: financially supported (social worker)
◦ A: alcohol/Smoking. quantify alcohol/smoking cessation clinic .
◦ Recreational activity : impact on recreational activity like swimming/climbing
◦ Travel: have you travelled. contact with TB
◦ MARRIAGE SEXUAL ACTIVITY ETC
◦ Conclusion:
◦ Plan:
◦
◦ Discussion: