Neck swelling
COVID-19 clinical presentation
<div class="redbox">
<p style="text-size:12px;">COVID-19 can present with a myriad of symptoms so should probably be on most differential diagnosis lists during the pandemic</p>
<li><a href="https://productivemedic.com/covid-remote-assessment/" target="_blank">COVID assessment, DDx and complications</a></li>
<li><a href="https://www.google.com/imgres?imgurl=https%3A%2F%2Ff6publishing.blob.core.windows.net%2F2ab0884c-0618-4586-aaf1-41004e6ad656%2FWJCC-8-3956-g002.png&imgrefurl=https%3A%2F%2Fwww.wjgnet.com%2F2307-8960%2Ffull%2Fv8%2Fi18%2F3956.htm&tbnid=I0G0VvXcx_akPM&vet=12ahUKEwj1_43FsrnuAhUH-YUKHSoZAFQQMygYegUIARCwAQ..i&docid=IBDQMbzRItpvKM&w=3307&h=2168&q=covid%2019%20presentation&safe=strict&ved=2ahUKEwj1_43FsrnuAhUH-YUKHSoZAFQQMygYegUIARCwAQ" target="_blank">Clinical presentation summary infographic</a></li>
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*Common causes
*Must not miss!
- Carotid aneurysm
- Malignancy
- Lymphoma
- Metastases
- Thyroid cancer
- Lymphoma
- Tuberculosis
– Lymphadenopathy
*Easily missed
Red flags
- Hard fixed mass
- Persistent unexplained swellings > 3 weeks
- Persistent sore throat > 3weeks
- Persistent mouth ulcers
- Red and white patches of the oral mucosa
- Hoarse voice
- Dysphagia
- Persistent lymphadenopathy
- Thyroid nodule
- Systemic symptoms
- (fever, night sweats, malaise, weight loss)
Investigations to consider
- FBC, CRP/ ESR
- Glandular fever screen
- TFTs
- Viral serology
- HIV screen
- Mantoux test
- CXR
- USS
- CT scan
- FNAC/biopsy
- Barium swallow
- OGD