Medical Data Interpretation

 Some causes of neck masses   Midline • Lesions of the thyroid gland, thyroglossal cysts (lump moves when patient sticks out tongue), midline dermoids, submental lymph nodes, parathyroid gland enlargement (very rare) Lateral • Neoplasia (primary cancer, lymphoma, schwannoma, metastatic cancer), infection (mumps, glandular fever, TB, HIV), autoimmune (e.g., Sjogren’s syndrome), normal variants (a transverse process of C2, cervical rib, elongated styloid process), sarcoidosis, branchial cyst     

Hi, Here are some gum changes in systemic conditions • Chronic lead poisoning: Punctuate blue lesions • Phenytoin treatment: Firm and hypertrophied • Scurvy: Soft and hemorrhagic • Cyanotic congenital heart disease: Spongy and hemorrhagic Phenytoin Gum Hypertrophy