Lump Examination (Exam (S C T FPS (Site Size Shape, Colour Consistency…
S C T FPS
Site Size Shape
Colour Consistency Contour Cough impulse
Tenderness Temperature Transilluminence Tethering
Examine draining lymph nodes
Examine neurovascular function distal to lump.
Look for similar lumps elsewhere
Is it intradermal or subcutaneous?
Cannot draw skin over lump
Sebaceous cyst, neurofibroma, dermatofibroma
Can move lump independently from skin
Lipoma, ganglion, lymph node
Fluctuance: assess w/ press test
Consider auscultating for bowel sounds or bruits (AVMs).
When and why did you notice it?
Any predisposing event: e.g. trauma?
What symptoms does it cause: e.g. pain?
How has it changed?
Have you noticed other lumps?
Treatments and Cause
What treatments have you tried?
What do you think the cause is?