You are currently viewing How To Physically Examine A Lump ? Mnemonics

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


Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER (1), (2)working in health department