Swelling
Protocols
Lump or Swelling :
- 1.Size
- 2. Position
- 3. Attachments
- 4.Surface
- 5. Edge
- 6. Consistency
- 7. Transillumination
- 8. Inflammation--Redness, tenderness , Heat
- 9. Thrill ,Bruit & Noise
Examination sequence ::
- 1. Inspect the swelling, noting any change in colour or texture of the overlying skin.
- 2. Gently palpate for tenderness or change in skin temperature.
- 3. Define the site and shape of the swelling.
- 4. Measure its size and record the findings diagrammatically.
- 5. Feel the swelling for a few moments to determine if it is pulsatile(moves in time with the arterial pulse).
- 6. Assess the consistency, surface texture and margins of the swelling. Attempt to pick up an overlying fold of skin to assess whether it is fixed to the skin.
- 7. Determine if it is fixed to deeper structures by attempting to move the swelling in different planes relative to the surrounding tissues. Look for fluctuation by compressing the swelling on one side and seeing and feeling if a bulge is created on the opposite side. Confirm the presence of fluctuation in two planes.
- 8. Auscultate for bruits and other sounds.
- 9. Transilluminate.