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Neck Mass - Coggle Diagram

- - - - Inflammatory
        Congenital/development
        Neoplasia (Malignant,
        Benign)
        
        Malignancies
        
        Under 6
        
        Neuroblastoma, non-hodgkins lymphoma, rhabdosarcoma
        
        7-13
        
        Hodgkin/Non-Hodgkin, Thyroid carcinoma, rhabdomyosarcoma
        
        Adolescents
        
        Hodgkin's Lymphoma
    - - Inflammatory
        Congenital/developmental
        Neoplasia (Benign,
        Malignant)
        
        Posterior Triangle: Metastatic Skin Cancer (SCC)
        
        Anterior Triangle: Floor of mouth/Larynx (SCC)
        
        Facial Mass: Parotid Nodes (forehead SCC), Primary salivaroy tumor (Pleomorphine adenoma, adenoid cystic), Schwannoma
    - - Neoplastic (Malignant
        Benign
        Inflammatory
        Congenital/Developmental
  - - - Thyro-glossa duct cysts
      - Dermoid Cysts
      - Teratoma
      - Submental lymphadenopathy
      - Cervical Cleft
    - - Brachial Cleft Cysts
      - Laryngocele
      - Thymic Cysts
      - Lymphatic /vascular malformation
      - Lymphadenopathy
      - Thyroid nodule
      - Thymic Cyst
      - Benign soft-tissue tumors
      - Sialadenitis
  - - - Soft/Rubbery
        Smooth
        Mobile
        Stable Size
      - Hemangioma, Thyoma, Thyroid Goitre, Lipoma, Salivary Schwannoma
    - - Soft/Boggy
        Erythematous
        Pain/Tenderness
        Warm<2 cm (unless abscess)
        Rapid Size change
      - Lymphadenopathy
        
        Bacterial, Viral, Granulomatous (Tuberculous, Cat-Scratch, Fungal, Sarcoidosis)
        
        Atypical Mycobacterium (Lateral)
        
        Presentation: Painless, no fever
        
        Treatment: Bioaxin/Rifampin/Surgical Excision
        
        Cervical Adenitis (Inflammatory)
        
        Pathology: Moraxella Catarrhalis, Strep Pneumo, H-Flu
        
        Presentation: Fever, neck mass, tender
        
        Treatment: Antibiotics
      - Thyroiditis
      - Sialadenitis
        
        Parotid, Submaxillary
    - - Hard/Rubbery
        Fixed
        Painless (unless nerves involved)
        Irregular
        Erythema
        2 cm
        Steady Growth
        Surrounding Nodes
      - SCC, BCC, Melanoma, Salivary, Thyroid, Lymphous, Glomous tumour, Rhabdomyoscarcoma
- - - - Skeletal: malleus, Incus, Mandible
      - Ligaments: Ant lig of malleus, Sphenomandib ligament
      - Muscles: MM of mastication, tensor tympani, Tensor palati, Mylohyoid, Ant belly digastric
      - Pouch: Auditory tube, tympanic cavity
      - Anomalies
        
        Type 1: Ectodermal duplication of EAC, Open medial, inferior or posterior to conchal carilage
        
        Type 2: Includes mesoderm, open in anterior neck superior to hyoid bone, course over mandible throguh parotid
    - - Skeletal: Stapes, Styloid process, hyoid bone
      - Ligament: Stylohyoid ligament
      - Muscles: Mm of facial expression, Stapedius, Stylohyoid, post belly digastric
      - Pouch: Lining (crypts) of palatine tonsils
    - - Skeletal: Hyoid bone - greater horn, lower half body
      - Muscles: Stylopharyngeus
      - Pouch: Inferior parathyroids thymus
    - - Skeletal: Thyroid cartilage, epiglottic cartilage
      - Muscles: Cricothyroid muslces, all intrinsic muscles of soft palate except tensor veli palatini
      - Pouch: Superior Parathyroids, C-cells of thyroid
    - - Skeletal: Cricoid cartilage, arytenoid corniculate
      - Muscles: all intrinsic muslces of larynx except the cricothyroid muscle