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    Parotid Case Presentation - Nandhithashree

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    sneha
    A 50-year-old female presented with a 10-month history of a slowly enlarging swelling in her left cheek. On examination, a 9cm x 6cm hemispherical swelling was noted over the left parotid gland region, which was non-tender, mobile, and had distinct borders. Based on the history and examination, the provisional diagnosis was a benign tumor of the left parotid gland.

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    Parotid Case Presentation - Nandhithashree

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    sneha
    20 views19 pages
    A 50-year-old female presented with a 10-month history of a slowly enlarging swelling in her left cheek. On examination, a 9cm x 6cm hemispherical swelling was noted over the left parotid gland region, which was non-tender, mobile, and had distinct borders. Based on the history and examination, the provisional diagnosis was a benign tumor of the left parotid gland.

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    Parotid Case Presentation- Nandhithashree

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    A 50-year-old female presented with a 10-month history of a slowly enlarging swelling in her left cheek. On examination, a 9cm x 6cm hemispherical swelling was noted over the left parotid gland region, which was non-tender, mobile, and had distinct borders. Based on the history and examination, the provisional diagnosis was a benign tumor of the left parotid gland.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    20 views19 pages

    Parotid Case Presentation - Nandhithashree

    Uploaded by

    sneha
    A 50-year-old female presented with a 10-month history of a slowly enlarging swelling in her left cheek. On examination, a 9cm x 6cm hemispherical swelling was noted over the left parotid gland region, which was non-tender, mobile, and had distinct borders. Based on the history and examination, the provisional diagnosis was a benign tumor of the left parotid gland.

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    © All Rights Reserved
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    You are on page 1of 19

    SURGERY CLINICAL CASE

    PRESENTATION
    By Guided by
    NANDHITHASHREE S Dr.Srinivasan,
    Final Year Student Associate Professor and
    Coimbatore Medical College Chief,
    Department of General
    Coimbatore. Surgery,
    Coimbatore Medical College
    A 50 year old female, from Tiruppur, who is a
    housewife has come with the
    CHIEF COMPLAINTS:
    Swelling in the left cheek for the past 10 months
    HISTORY OF PRESENTING ILLNESS:
    • Patient was apparently normal 10 months back
    • Then she developed a swelling in the left cheek which
    was insidious in onset . It was initially small in size and
    it gradually progressed to the present size. There is no
    change in size of the swelling during meals
    • No H/O any associated pain
    • No H/O loss of appetite
    • No H/O of loss of weight
    • No H/O restriction of movements of the jaw
    • No H/O facial weakness
    • No H/O dysphagia
    PAST HISTORY:
    • She is a known case of Hypertension for the past 1
    month and is on treatment.
    • She is not a known case of Diabetes, Asthma, Epilepsy
    and Tuberculosis.
    • No History of any Surgeries in the past.
    PERSONAL HISTORY:
    • She consumes Mixed diet.
    • Normal bowel and bladder habits.
    • There is no Sleep disturbance.
    • No addictive habits
    MENSTRUAL HISTORY
    • Attained menarche at 14 years of age
    • Regular cycles, 5/30
    FAMILY HISTORY:
    • There is History of Similar illness in the family.
    EXAMINATION
    GENERAL EXAMINATION
    • After obtaining consent from the patient, the
    examination was carried out in adequate lighting.
    • The patient is conscious and oriented to time, place
    and person.
    • She is moderately built and moderately nourished.
    • Afebrile
    • No pallor
    • Not icteric
    • No cyanosis
    • No clubbing
    • No generalized lymphadenopathy
    • No pedal edema
    VITAL SIGNS
    • Pulse rate- 85/minute, Regular, Normal volume and
    no specific character, No radioradial and radiofemoral
    delay,
    • BP-110/17mmHg
    • Temperature-37.2°C
    • Respiratory rate- 18/minute
    LOCAL EXAMINATION
    INSPECTION- LEFT CHEEK:
    • Site- In front, below and behind the ear lobule and
    over the angle of the mandible.
    • Size – Approximately 9cm×6cm
    • Shape- It appears hemispherical
    • Skin over the swelling is normal.
    • Surface appears smooth
    • Borders are distinct
    • The swelling lifts the ear lobule.
    • Retro mandibular groove is obliterated.
    • There is no restriction of movements.
    • Opening of the Stenson’s duct appears normal.
    • INSPECTION of the right cheek – Normal.
    PALPATION:
    • The inspectory findings are confirmed.
    • The swelling is not warm and is not tender.
    • Surface is smooth and borders are well defined
    • Extent: Superior – Upto the tragus
    Inferior–Till the lower border of the mandible
    Anterior- 5 cm in front of the tragus and b
    below the zygomatic arch
    Posterior- 3cm anterior to the Mastoid
    process
    • Skin over the swelling is pinchable
    • The swelling is freely mobile. Its not fixed to the
    underlying bone or the masseter muscle and
    • Curtain sign is present.
    • On bimanual palpation, it is found that the deep lobe is
    not involved.
    • On bidigital palpation of the Stenson’s duct, no
    obstruction or calculi was felt.
    • There is no local lymph node enlargement.
    • Facial nerve is intact.
    • PALPATION OF THE RIGHT SIDE- Normal.
    PROVISIONAL DIAGNOSIS
    A case of Benign tumour of the left Parotid gland.

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