HPI Analysis of chief complation ▫SDN OPERA Site – Severity Duration Nature Onset Progression – Precipitating Factor End Radiation – reffered – Relifing Factor Aggrevating Factor – Associated Symptoms ▫Previous Similar Attack ▫Risk Factors ▫Associated Symptoms
Hx of lump & ulcer Wher? Site How? S/He notice When? Onset: Acute vs Chronic Progression? size Other lump? Previous similar Risk factors Associated feature ▫Pain ▫Discharge ▫Constitutional symptoms Malignancy Inflammation ▫Hx of trauma What do you think is the cause?
Ex of Lump Inspection 4Ss ▫Size ▫Site ▫Shape ▫Overlaying Skin Color Ulcers Scars
Palpation: STC >> easy life ▫2Ts Temperature Tenderness ▫2 C compressibility consistency ▫2 S Surface Relation to surrounding Overlying skin Underlying structure