Week 2 Lump in the neck - Clinical Scenarios

This week is an interactive session.

Case Background

A 3 year old boy presents to casualty with a midline swelling in the neck

Points to be elucidated in history:

Length of time patient had swelling - 4 days

Pain - yes hot, red and tender

Location - midline

Previous episode - nil

Examination

Throat and mouth - clear

Nose - clear

Ears - clear

Neck - 2 x 2 cm fluctuant, swelling in midline of neck, moving up on protrusion of the tongue.

Discussion

Differential?

Investigations necessary? Why are these investigations necessary?

Treatment?

FU?

Operation? Name of Operation? Timing of Operation? Risks and problems?

Embryology?