Confirm, Tenderness, Temp, Size, attachment, mobility, Consistency, edges, surface, pulsation, Transillumination, compressibility
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Confirm the inspection (site –use the bone prominence as landmark, shape)
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Tenderness (the swelling and surroundings) (and look to the patient face)
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Temperature (mass and the surrounding tissue) (by the dorsum of the hand, and compare up/down, Rt/Lt)
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Size: measure by ruler in 2 dimensions
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Attachment (superficial-skin or deep-muscle, how to defrentiate? ask patient to use muscle, to determine attachment, by asking to contract muscle, by flexing; if mass disappeared, then its attached to the muscles); if not attached could be subcutanous, skin, or otherwise.
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Mobility (up/down)
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Consistency (Vary from soft to stony), Fluctuation; usually when mass has fluids
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Edges (regular/irregular, sharp/rounded)
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Surface (ex; smooth, rough, cobblestone)
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Pulsation (CC) (artery lesion) expansile pulsation; if hands moves or (Related to artery) transmit pulsation; if lump moves.
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Transillumination (should be in dark room) filled with fluid; with no internal tissue structure
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Compressibility / Reducibility (compressible: lump disappear on pressure ; Hemingioma and reappear on release , Reducible: Lump reappears only after application of another force ex, inguinal hernia)