๐ŸŒฟ| ุฏ. ู…ูŠ ุงู„ู…ุญุงุฑุจ
๐ŸŒฟ| ุฏ. ู…ูŠ ุงู„ู…ุญุงุฑุจ

@maymuhareb

4 Tweets 13 reads Mar 22, 2023
Case;
30 y/o female, 20 days postpartum, fit
Received her rubella vaccine recently
Had neck swelling 5 days after the vaccine
Started egg size then increased to reach 4 x 4 x 3.5. Painful, affected her eating and sleep
Whatโ€™s your differential and initial testing?
Hint;
Pt swelling now looked similar to this one ๐Ÿ‘‡๐Ÿป
She noted that she may felt a small swelling long time ago but wasnโ€™t bothering her
What could it be?
In adult neck mass/ lump/ swelling:
First; outline differential diagnosis by taking detailed hx/px
Second; investigate and confirm diagnosis
Third; manage accordingly
In this case, itโ€™s branchial cyst
It just happened to overlap with vaccination time that took the blame but was not guilty

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