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Dr. Singh
Dr. Singh, Doctor
Category: Health
Satisfied Customers: 6496
Experience:  MBBS. General Practitioner, experienced in hospital care and primary care.
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There is a painful knot in under my chin near the submandibular

Customer Question

There is a painful "knot in under my chin" near the submandibular area of the right side of the neck. It has been present for several days but seems to have "gotten worse fast." List two differential diagnoses for this patient along with diagnostic testing and treatment plan.
Submitted: 5 years ago.
Category: Health
Expert:  Dr. Singh replied 5 years ago.
Hello,
Important differential diagnosis for this patient includes:

  • Infection (sialadenitis, lymphadenitis)
  • Tumor/Cancer of head and neck
Diagnostic testing should include:
  • Blood test CBC with differential
  • Culture test for bacteria
  • Fine needle aspiration biopsy if a tumor is suspected upon initial evaluation
  • Blood tests for autoantibodies
  • X-ray or CT scan of the head and neck area
Treatment depends on the results of physical examination and test results.
Treatment options include:

  • Observation with conservative measures
  • Oral antibiotics
  • Drainage of abscess if needed
  • Consultation with an ENT specialist if the symptoms persist or the illness gets worse.
  • Consider surgery if the biopsy indicates cancer cells.
Best Regards.