EXAMINATION OF A LUMP

INSPECTION - 5S MNOP
5S - site, size, shape, surface, skin
M- Margin
N- Number
O= 2C= colour, cough impulse
P= pulsatility, peristalsis

PALPATION - 2T, confirmation of INSPECTION findings, 2F 2T 2C 2P 2R 1L

2T= temperature, tenderness

2F= fluctuation, fixity

2T= transillumination, thrill

2C= consistency, compressibility

2P= pressure effects, effects of pressure
(difference between pressure effects and effects of pressure = for example a soft tissue sarcoma of the upper extremity compressing on the radial nerve causing WRIST DROP - here the effect of compressing on the mass with the examining finger = EFFECT OF PRESSURE and wrist drop = PRESSURE EFFECT)

2R= reducibility, regional examination(eg lymph nodes etc.)

1L= layer (layer=intraperitoneal or retroperitoneal or parietal)

in short
Inspection - 5S MNOP
Palpation - INSPECTION + 2(TFT CPR) + 1L