 Previous batches recommended to read the Examination from browse starting from page 270,especially the special test of thyroid, and the examination of the eyes signs  I brought the pictures from the net, they are not the ones came in the previous exams\  If you detect any mistake please don’t hesitate to correct them and inform the whole batch about it  Dr. Kurdi said that most like the thyroid comes in the exam as examination rarely as history

7 years old children comes to the hospital with lateral cervical swelling write 4 causes?

Better to divide them into ant. And post. Triangle causes. Anterior triangle: Thyroid swelling Lymphadenopathy Cold abscess ( TB ) Carotid body tumor Branchial cyst Posterior triangle: Lymphadenopathy Cystic hygroma Pharyngeal pouch Subclavian aneurysm Cervical rib Notice I didn’t mention midline causes cuz question said lateral.. Alyaa

1)what could be the origin of that lump ( DDx) ? 2). mention two methods in examination by which you could differentiate this lump ? (swallowing and protrusion of the tongue ) 3).mention 3 regional lymph nodes that you should examine.

what could be the origin of that lump ( DDx) ? ( Midline mass )  Thyroglossal cyst  Pharyngeal pouch  Laryngocele  Thyroid nodule  Dermoid cyst Mention two methods in examination by which you could differentiate this lump ? 1- swallowing test 2- tongue protrusion Mention 3 regional lymph nodes that you should examine? ( I am not sure)  Submental and submandibular  Supraclavicular  jugular groups (upper,middle,lower)  Axilla ( in case of mets)

 Picture of Redness & swelling on back of the neck what's the diagnosis? Most likely it is a lymphadenopathy cystic hygroma ( I am not sure) Cystic hygroma in neck is commonly found at the base of the neck in the posterior triangle And it’s not hot, red, or tender with a normal overlying skin… Alyaa

Describe? DDx?

Describe? Lump in the Sub-mandibular region  Oval shaped mass  In the sub-mandibular region  Measures 4x5 cm  Skin over the mass is free ( discoloration discharge …) DDX? 2 main origins: LNs, Salivary glands  lymphadenopathy  Abscess from teeth origin  Salivary gland tumors  Mumps  sialadenitis

1)What's the diagnosis?  Lid retraction most likely due to Grave’s disease 2)Mention 4 sign of Thyrotoxicosis in the eye?

 Lid retraction  Lid lag  Exophthalmos  Chemosis  Loss of hair in the outer third of the eyebrows ( hypo thyriod)  Diplopia  Peri-orbital puffiness  These are the important things to be mentioned in the eye examination