[34F] With recent onset of neck lumps
Patient Description
A 34-year-old female has noticed two lumps in her neck over the past two days. These lumps are tender to the touch and seem to move slightly. The patient reports no recent injury, trauma, infections, illnesses, or vaccinations. She has a history of a persistent knot in her neck for several years but is unsure if the new lumps are related. She smokes 10 to 15 cigarettes per day and occasionally consumes alcohol. The patient has a history of asthma, diagnosed at age 14, but reports no current medications or known allergies.
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Arora's Assessment
What might be happening
Based on the information you provided, here are some possibilities:
-
Swollen Lymph Nodes: These can occur due to infections, even mild ones you might not notice. They are often tender and movable.
- Treatment usually involves addressing the underlying infection, if present. They often resolve on their own.
-
Lipomas: These are soft, movable lumps under the skin caused by fatty tissue growth. They are generally harmless.
- Treatment is not usually necessary unless they cause discomfort.
-
Cysts: These are fluid-filled sacs that can form under the skin. They can be tender if inflamed.
- Treatment may involve drainage or removal if they become bothersome.
What you can do
- Monitor the Lumps: Keep an eye on any changes in size, shape, or tenderness.
- Avoid Irritation: Try not to press or manipulate the lumps excessively.
- Stay Hydrated and Healthy: Maintain a balanced diet and stay hydrated to support your immune system.
- Use MDandMe: Journal your symptoms and track any changes. This can help provide useful information to your healthcare provider.
What you should look out for
- Seek Medical Attention if you notice:
- Rapid growth of the lumps
- Persistent pain or tenderness
- Any new symptoms like fever or unexplained weight loss
Remember, it's always best to consult a healthcare professional for a formal diagnosis and treatment plan.
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2 mo ago