Swellings

Published on 23/05/2015 by admin

Filed under Internal Medicine

Last modified 23/05/2015

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Axillary Swellings

The great majority of axillary swellings are enlarged lymph nodes. Axillary nodes are often enlarged due to secondary deposits from carcinoma of the breast. Most axillary swellings are easily diagnosed on clinical examination alone.

History

Superficial

Acute abscess

This presents as a tender swelling in the skin. There may be a purulent discharge. Common in diabetics.

Sebaceous cyst

A sebaceous cyst will present as a firm swelling in the skin, often with a punctum. It may be tender if it becomes inflamed and there may be discharge from it.

Lipoma

This presents as a soft, lobulated swelling in the subcutaneous tissue.

Hidradenitis suppurativa

The patient presents with multiple tender swellings in the superficial tissue of the axilla, the infection occurring in the apocrine sweat glands. A purulent discharge usually occurs. There may be a history of diabetes.

Deep

Lymphadenopathy (p. 321)

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