Swelling Revision Dr.

Al -Matary

Swelling
Lipoma

lipoma
2010

Lipoma
subcutaneous lipoma
forehead buttock shoulder back common

Lipoma

fascia

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Mucous membrane

Lipoma
Lipoma

Limb
subcutaneous lipoma
sufascial lipoma
Inter muscular lipoma
Intra muscular lipoma

Inter muscular
Intra muscular

Muscle Intra muscular

Inter muscular

abdomen
retro peritoneal space lipoma
extra dural spinal cord extra dural space
sub mucous lipoma Intestine

Lipoma
dangerous sites

subcutaneous lipoma

subcutaneous lipoma
Cosmetic disfigurement

lipoma subcutaneous

cosmetic disfigurement subcutaneous lipoma

extremely extremely rare malignancy

lipoma
spinal cord extra dural space Lipoma
discussion

brain

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brain extra dural space fat cells

spinal cord

extra dural space

lipoma extra dural space
spinal cord
brain extra dural space fat cells brain Never

retro peritoneal lipoma

malignancy
malignant
Liposarcoma

malignancy retro peritoneal lipoma examiner

some authors believes that : it is malignant from the start

malignant from the start

turn malignant
malignant from the start
examiner

sub mucous lipoma

intussusceptions intestinal obstruction

Intestine sub mucous lipoma

Lipoma
lumen Intestinal obstruction

intussusceptions
Intussusceptions
Lipoma intestine

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lipoma
Intestine
as if trying to defecate lipoma Intestine
Intestine
Intussusceptions

sub mucous lipoma

intestinal obstruction
Intussusceptions
stridor larynx

dangerous site of lipoma

subcutaneous lipoma

subcutaneous lipoma
The commonest site
forehead buttock shoulder back

subfascial lipoma
deep fascia

sub fascial lipoma

fibrous band not attached to skin Firm
firm and not attached to the skin by fibrous bands sub fascial lipoma

sub fascial lipoma Lipoma

fibrous band Not attached to the skin firm
firm fibrous band Not attached to the skin Lipoma

firm sub fascial

lipoma
Under tension
compartmental syndrome
deep fascia
Under tension

sub mucous lipoma

Larynx Intestine mucous membrane Beneath
intestinal obstruction intestine
stridor larynx

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sub serous lipoma

serosa
serosa Intestine
serosa lipoma

Intra muscular lipoma Inter

Muscle Inter
Muscle Intra

Muscle superficial deep to muscle lipoma

Muscle in action
superficial More prominent
deep less prominent

Muscle lipoma
along Muscle Moves across
fixed

swelling lipoma
Moves across
fixed

deep superficial inter muscular lipoma

muscle in action
superficial more prominent
deep less prominent

sup periosteal lipoma

Periosteum

intra glandular lipoma

parotid swelling
adeno endemic parotitis parotid swelling
lymphoma

and extremely rare

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Intra glandular lipoma

gland lipoma

extra dural lipoma

extra dural lipoma

spinal cord
brain Never

brain extra dural space fat cells

retro peritoneal lipoma

Some authors believes pre cancerous ( pre malignant )

And other believe it malignant from the start

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19

Dercum disease
slides slide

Neurofibroma

soft in consistency swellings

lipoma soft in consistency

painful
painful Lipoma Painful

Painful Lipoma
Dercum disease

painful
Post menopausal female
Lower limbs multiple swelling
painful

painful

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perimenopausal female
Multiple swelling

hemangio lipoma
Neuro lipoma
discussion

firm Lipoma
soft consistency Lipoma
firm
fibro lipoma
sub fascial lipoma
firm sub fascial lipoma
tension

firm fibro lipoma

fibrous tissue element

Hemangio Lipoma
partially compressible blood vessel Lipoma
partially compressible Hemangio lipoma

compressible Hemangioma
fat compressible vascular hemangio liopma

Partially compressible hemangio lipoma

neuro lipoma
Neuro lipoma

capsule Lipoma
benign swelling

capsules benign swelling

expansion

Compression

expansion

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compression
false capsule
plane of cleavage

false capsule true capsule gross pictures

treatment
false capsule true false capsule
enucleation

neurofibroma simple ganglion Hemangioma

Hemangioma
Hemangioma
Hemangioma
Blood spaces
blood spaces
blood spaces

blood spaces hemangioma

Cavernous hemangioma blood spaces
capillary hemangioma blood spaces

capillary hemangioma blood spaces

cavernous hemangioma blood spaces

capillary hemangioma

strawberry hemangioma
strawberry hemangioma

few weeks

few weeks
trunk few weeks

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Strawberry hemangioma
few weeks

Hemangioma

self in cure

lacerated Infected
Infection

Indication for laser photo coagulation Infection

cortisone therapy

laser photo coagulation

Portwine hemangioma

Raised

raised

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cosmetic

laser portwine hemangioma

separate session

Portwine hemangioma
Dating since birth, non involuted, not raised, purplish in color

Salmon patch

forehead pink

Salmon patch

spider navei Spider navei

capillary intra arteriole
central arteriole
capillaries

Cavernous Hemangioma
14:15
Cavernous Hemangioma

Strawberry hemangioma
Vascular malformation

strawberry Hemangioma MCQ

Strawberry MCQ Hemangioma

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vascular malformation

cavernous hemangioma
blood spaces

deoxygenated blood
blood spaces

Compressible

compressible

pathognomonic compressible
compressible

Internal organ hemangioma Land mark compressible

compressible hemangioma
Internal organ hemangioma Land mark
Liver Usually

hemangioma
shock severe pain Intra peritoneal hemorrhage

rebound tenderness rigidity

Liver hemangioma

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compressible bluish in color swelling

suddenly developed abdominal pain
rebound tenderness rigidity shock

acute abdomen

Investigations of choice
aspiration ultra sound

hemangioma of the liver investigations of choice

CT Scan
CT Scan Liver Hemangioma Investigation of choice

GIT Diagnostic

center Hemangioma
CT Scan
diagnosis

cavernous hemangioma
compressible
Internal organ hemangioma land mark

hemangioma
laser
Laser photo coagulation

feeding vessels

feeding vessels

excision

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cryosurgery

Cersoid Aneurysm
varicose vein

varicose vein

varicose vein

varicose vein
spontaneous thrill

thrilling varicosity varicose vein

arterio-venous fistula Thrilling spontaneous

arterio-venous fistula
superficial temporal artery

Cersoid Aneurysm

Varicose vein

Spontaneous thrilling

arterio-venous fistula
veins superficial temporal artery

varicose vein

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varicose vein

Pulsating headache

Pulsating headache

It is bloody surgery
Vascular
Intra cranial extension skull

skull vascular malformation

skull vascular malformation

skull vascular malformation
skull blood vessel blood vessel sandwiched skull
skull

extra cranial intra cranial

communication
very vascular
very vascular intra cranial extension
extra cranial extension

X - ray skull angio

X - ray skull

skull skull X - ray

angio

Bleeding
venous drainage semi-sitting position
bleeding

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external carotid artery clamp

external carotid superficial temporal

bleeding vessel
it is bloody surgery

bleeding

Cersoid aneurysm
bleeding it is bloody surgery

bleeding
semi-sitting position

semi-sitting
Hypotensive anesthesia

clamp external carotid

cersoid aneurysm

hemangioma

capillary hemangioma

compressible cavernous hemangioma

internal organ hemangioma

liver

cersoid aneurysm

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Arterio-venous fistula
varicose vein
pulsating headache
Intra cranial extension

vascular malformation Hamrtoma

vascular malformation Hamrtoma

mal-arranged Blood vessel normal

strawberry hemangioma tumor
proliferative phase

proliferative phase

hamrtoma
disease

ganglion
Ganglion
simple ganglion
compound palmar ganglion

Simple Ganglion
simple ganglion
tendon

ganglion
tendon

fibers tendon
mucoid degeneration
tendon

tendon

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tendon
fibers fibers tendon

ankle wrist common

ankle wrist tendon

tendon

ankle wrist common simple ganglion

tendons

swelling
tendon

Cystic

cystic
Paget test

Paget test clinically cystic

swelling

tendon
tendon across
along it
fixed tendon

along it tendon across

fixed tendon

simple ganglion
tendon

tendons ankle wrist common

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cystic cystic ganglion

cyst clinically Paget test

tendon swelling simple ganglion

tendon across
along it
tendon

simple ganglion
For fear of complications

calcification Infection rupture

general anesthesia hand infection

tourniquet good light

hand infection
General anesthesia
Good light
tourniquet

simple ganglion

tourniquet

Compound Palmar Ganglion

compound palmar ganglion
T.B. of the ulnar bursae

ulnar bursae
palm little finger

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proximal collar distal collar

palm hypothenar
forearm

palm Little finger

Palm hypothenar
forearm

forearm palm little finger swelling

cross fluctuation forearm palm swelling

forearm palm
palm forearm

cross fluctuation

under bursae under bursae T.B.

droplet

Ingestion
Lymphatic spread blood

T.B. of the ulnar burase

T.B. T.B. of the ulnar bursae

open

anti tuberculous Sanatorial treatment

ulnar
ulnar
ulnar radial bursa
ulnar bursa affected

communicated radial bursa ulnar bursa

radial bursa
ulnar bursa

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communicated ulnar bursa radial bursa

radial Ulnar Infection

sanatorial treatment
anti tuberculous therapy

Sanatorial treatment
Anti tuberculous therapy

Rest of the affected organ

Pott's disease of the spine

Open
plastic collar
Rest of the affected organ

thoracic region Pott's

thoracic region Pott's

Open

rest of the affected organ

rest of the affected organ anti tuberculous therapy sanatorial treatment

open drainage

compound palmar ganglion simple ganglion

tendon

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tendon tendon

tendon tendon

compound palmar ganglion

T.B. of the ulnar bursa

tongue Neurofibroma
Neurofibroma
Neurofibroma
Nerve
axis nerve

Neurofibroma
axons connective tissue

Neurofibroma
axons connective tissue
neurofibroma

axons connective tissue

tumor of the connective tissue neurofibroma

connective tissue
axons
giant cells axons
Schwannoma

Schwannoma Neurofibroma

Schwann cells axon

connective tissue axon axon

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connective tissue neurofibroma

Schwann cells Schwannoma

Schwannoma
cranial nerve acoustic neuroma

acoustic neuroma

increased intra cranial tension

papilloedema vomiting blurring of vision headache

acoustic neuroma
E.N.T.

acoustic neuroma

neurofibroma
neurofibroma E.N.T.

neurofibroma acoustic neuroma

acoustic neuroma
neurofibroma
Schwannoma

Schwannoma Schwann cells acoustic neuroma

connective tissue neurofibroma

neurofibroma

connective tissue of the nerve neurofibroma

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Schwannoma
acoustic neuroma Schwannoma

firm in consistency Neurofibroma

numbness tingling
along it Nerve across

along it Nerve across

Caf au lait patches

multiple Neurofibroma single Neurofibroma

Von Reckling Hausen's disease Multiple

Neurofibroma
Nerve connective tissue

Schwannoma
Schwann cells

Schwannoma
acoustic neuroma

consistency Neurofibroma
Firm in consistency

numbness Tingling

along it Nerve Across

along it Nerve across

Caf au lait patches

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multiple multiple single

Von Reckling Hausen's disease

forearm firm swelling presented

firm swelling right side forearm

patchy pigment

neurofibroma Caf au lait patches Firm swelling

firm swelling

Caf au lait patches Neurofibroma

Neural crest melanocyte

neural crest embryology Melanocyte
melanocytes Nerve

neural crest Melanocyte

neurofibroma nerve
melanocyte

Neurofibroma
firm
data firm

along it nerve moves across tingling

Neurofibroma Firm

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 Swelling Revision Dr. Al -Matary

firm
numbness tingling firm
along it Nerve across

general examination
Blood pressure

pheochromocytoma blood pressure

neck
Medullary carcinoma
thyroid

Pheochromocytoma Hyper parathyroidism medullary carcinoma

multiple endocrinal neoplasia type two

type two b
neurofibroma

neurofibroma
neurofibroma

general examination Investigation neurofibroma

Pheochromocytoma

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Swelling Revision Dr. Al -Matary

www.facebook.com/dr.tafreegh

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