Instructions
You are an intern in the ENT clinic. Mervyn Vickers, 58, a smoker, has had a painless firm lump on the left side of his neck for six weeks that did not shrink after antibiotics. The ENT surgeon has examined him and wants to arrange tests.
Explain the likely causes and the tests in the management plan to Mr Vickers
- You do not need to take a history or examine the patient
Surgeon's examination
Firm, non-tender, 3 cm left level II node, mobile. Oral cavity normal. Mild hoarseness.