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Surgery 1 - Third Year BHMS

Contents

Surgery 1 - Third Year BHMS

Contents

CoursesBHMSSurgery 1 - Third Year BHMSTUMOUR AND SWELLING

TUMOUR AND SWELLING

Content

**TUMOUR AND SWELLING **

  • Demonstration of Examination of Tumour and Swelling of Different Types

Definition

  • Tumour: An abnormal mass of tissue that results from new cell growth (benign or malignant).
  • Swelling: Localized accumulation of fluid, cells, or other material in tissues.

Types of Tumours

  • Benign Tumours
    • Definition: Non-cancerous growths that do not invade surrounding tissues.
    • Examples: Lipoma, fibroma, osteoma.
    • Characteristics: Well-defined margins, slow growth, no metastasis.
  • Malignant Tumours
    • Definition: Cancerous growths that invade surrounding tissues and can metastasize.
    • Examples: Carcinoma, sarcoma, lymphoma.
    • Characteristics: Poorly defined margins, rapid growth, potential for metastasis.

Types of Swelling

  • Inflammatory Swelling
    • Definition: Swelling due to inflammation, usually caused by infection or trauma.
    • Examples: Cellulitis, abscess, traumatic swelling.
    • Characteristics: Redness, warmth, pain, swelling, and potentially fever.
  • Edematous Swelling
    • Definition: Swelling due to fluid accumulation, often caused by circulatory or lymphatic issues.
    • Examples: Lymphedema, edema, ascites.
    • Characteristics: Swelling, often painless, and may be accompanied by skin changes.

Causes of Tumours and Swelling

  • Infection: Bacterial, viral, or fungal infections can cause tumours and swelling.
  • Trauma: Physical injury can lead to haematoma, abscess, or tumour formation.
  • Genetic predisposition: Certain genetic conditions can increase the risk of developing tumours.
  • Hormonal imbalances: Hormonal changes can contribute to the development of certain tumours.
  • Environmental factors: Exposure to carcinogens, radiation, or other environmental toxins can increase the risk of tumours.

Clinical Features of Tumours and Swelling

  • Palpation: Tumours may be palpable, firm, or soft, and may have irregular borders.
  • Pain: Tumours can be painful or painless, depending on their location and type.
  • Mobility: Tumours may be mobile or fixed, depending on their attachment to surrounding tissues.
  • Skin changes: Tumours can cause skin changes, such as ulceration, ecchymosis, or erythema.

Investigations for Tumours and Swelling

  • Imaging studies: X-rays, CT scans, MRI, or ultrasound can help diagnose and stage tumours.
  • Biopsy: Sampling of tissue for histopathological examination can confirm the diagnosis.
  • Blood tests: Laboratory tests can help identify abnormalities in tumour markers or other biomarkers.

Complications of Tumours and Swelling

  • Infection: Tumours can become infected, leading to sepsis or abscess formation.
  • Necrosis: Tumours can undergo necrosis, leading to tissue death and potential complications.
  • Metastasis: Malignant tumours can metastasize to other parts of the body, leading to secondary tumours.

Management and Treatment of Tumours and Swelling

  • Surgical excision: Removal of the tumour by surgical means.
  • Chemotherapy: Use of chemotherapy agents to kill cancer cells.
  • Radiation therapy: Use of radiation to kill cancer cells.
  • Observation: Monitoring of tumours for changes in size or symptoms.
  • Pain management: Use of pain medications to manage pain associated with tumours.

Homoeopathic Therapeutic Approach

  • Constitutional treatment: Treatment based on the individual's constitution and overall health.
  • Simillimum: Treatment with the remedy that matches the individual's symptoms and characteristics.
  • Potentized remedies: Use of potentized remedies to stimulate the body's natural healing processes.
  • Acute treatment: Treatment for acute symptoms and conditions, such as pain or inflammation.

Homoeopathic Medicines

  • Calcarea carbonica: For swelling, pain, and inflammation, particularly in the soft tissues.
  • Silica: For swelling, pain, and inflammation, particularly in the bones and joints.
  • Calcarea phosphorica: For swelling, pain, and inflammation, particularly in the soft tissues and bones.
  • Arnica: For swelling, pain, and inflammation, particularly in the soft tissues and joints.