The Mnemonic ” I Don’t Mind Getting Fussy About That Meticulous CAT ” will help in physical examination of a lump during your clinical rounds as well as during med exams.
A lump may be a general benign type or a more serious harbinger of serious diseases. Therefore critically examining the lump physically for shape, consistency should be a pre-requisite
Here are the steps that you need to remember while examining a lump
Step By Step Approach to Examining A Lump
- I – Inspect the lump, noting any change in color or texture of the skin.
- D – Define the site and shape of the lump.
- M – Measure its size and record the findings diagrammatically.
- G – Gently palpate for tenderness or change in skin temperature.
- F – Feel the lump for pulsatility.
- A – Assess consistency, surface texture, and margins of the lump.
- T – Try to pick up an overlying fold of skin to assess if the lump is fixed to the skin.
- M – Move the lump in different planes to check for fixation to deeper structures.
- C – Compress the lump on one side and check for bulging on the opposite side (fluctuation) in two planes.
- A – Auscultate for vascular bruits.
- T – Transilluminate the lump.
Mnemonic: “I Don’t Mind Getting Fussy About That Meticulous CAT“