Mass/Polyp/Abscess assessment - History of presenting illness :: MedEMPIRE

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John Smith Meds reminder

Captopril, 2 times/day Orally 600mg Before food From 22-8-2018 to 30-12-2018

Vaccination

To ppl who’re predisposed to an infc the hospital sends

Next clinic visit

Endocrinology clinic, Dr. Gregory Smith, Massachusetts General Hospital, 7-9–2018, 10:15

New user registered. 5 hours ago

Caleb Flakelar commented on Admin 4 days ago

Carlos Crouch liked Admin 13 days ago

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John Smith Meds reminder

Captopril, 2 times/day Orally 600mg Before food From 22-8-2018 to 30-12-2018

Vaccination

To ppl who’re predisposed to an infc the hospital sends

Next clinic visit

Endocrinology clinic, Dr. Gregory Smith, Massachusetts General Hospital, 7-9–2018, 10:15

New user registered. 5 hours ago

Caleb Flakelar commented on Admin 4 days ago

Carlos Crouch liked Admin 13 days ago

View all
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Mass/Polyp/Abscess assessment

Site

Choose Site

Extension to

Choose Site

Shape

Round

Oval

Size

Small

Large

Number

Single

Multiple

Mobility

Fixed

Mobile

Inflammation signs

Redness

Warmth

Painful

Diffuse tenderness

Localized tenderness

Discharge

Serous

Sanguineous

Serosanguinous

Mucoid

Bloody

Purulent

Offensive

Non-offensive

Discoloration

White

Red

Purple

Blue

Consistency

Stony hard

Hard

Firm

Rubbery

Tense

Soft

Solid

Cystic

Content

Blood

Plus

Fluid

Soft tissue

Bone

Edge

Well-defined

ill-Defined

Sharp

Rounded

Regular

Irregular

Surface

Smooth

Irregular

Uninodular

Multinodular

Sessile

Pedunculated

Skin dimpling

Has an opening

Reducibility

Reduced spontaneously

Reduced by compression

Irreducible

Associated nearby lymphadenopathy

Yes

No

Other findings

Fluctuant

Pulsatile

Cough impulse

Bruit

Thrill

Transillumination

Irritative

Itchy

Surrounding tissue

Intact pulses

Absent pulses

Intact sensation

Absent sensation

Pitting edema

Non-pitting edema

Changed size

Increased size

Decreased size

Changed color

History

Trauma

Fever

Malaise

Loss of appetite

Weight loss

Night sweats

Discomfort

History of similar lump

History of other lump

Duration

Sec

Min

Hours

Days

Weeks

Months

Years

Duration For Few

Sec

Min

Hours

Days

Weeks

Months

Years

Since age

Years Old

Onset

Sudden

Gradual

Acute

Chronic

within

over

Sec

Min

Hours

Days

Weeks

Months

Years

Patient awareness of the lump

Aware

Unaware

Impression

Abscess

Lipoma

Sebaceous cyst

Neurofibroma

Aneurysm

Hernia

Lymphadenopathy

Polyp

Other neck swelling findings

Moves with swallowing

Moves with tongue protrusion

Retrosternal dullness

Associated with dysphagia

Associated with SOB

Associated with hoarseness

Neck swelling impression

Goiter

Thyroglossal cyst

Branchial cyst

Branchial cleft

Pharyngeal pouch

Carotid body tumor

Sternomastoid tumor

Cystic hygroma

Cervical rib

Lingual goiter

Other hernia findings

Extending to scrotum

Strangulated

Bowel content

Omentum content

Hernia exacerbated by

Coughing

Straining

Standing

At the end of the day

Hernia history assessment

Chronic cough

Chronic constipation

Heavy lifting

Straining

Hernia impression

Direct inguinal

Indirect inguinal

Incisional

Femoral

Obturator

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