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Examination of a Swelling

Introduction, permission, exposure
Inspection
- shape
- colour
- distance from nearest bony prominence
- size
Feel
- tender / painful
- temperature
- surface
  - smooth
  - bosselated
  - rough
- edge
- consistency
- surrounding area
Press
- pulsatility
- compressibility /reducibility
- percussion
- fluctuation / fluid thrill
Move
- skin over lump
- lump in two planes
- with tense muscle
Listen
- bruit
- bowel sounds
Transilluminate
Surrounding tissues
- regional lymph nodes
- sensation
- power of related muscles

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