December 9, 2023

1400H - 1500H
Via Zoom

Empowerment
objective - for
laypeople to have an
Clinical essential
Diagnostic understanding of
Algorithm for Clinical Diagnostic
Common Algorithm for
Surface Lumps Common Surface
Lumps in their health
management.
 December 9, 2023
1400H - 1500H
Via Zoom
Welcome all!
Empowerment MUTE yourself but always
objective - for show your video picture.
laypeople to have an Sign in your name, FB
Clinical essential account, or email address in
Diagnostic understanding of
the Chat Box! Include names
of companions attending.
Algorithm for Clinical Diagnostic
Common Algorithm for
Use the Chat Box to ask
questions and make
Surface Lumps Common Surface comments while the PEP TALK
is on.
Lumps in their health
There will be group pictures
management. at start and end of PEP TALK –
show your face in video.
Reminder after the PEP
Talk:

Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.

Link is in Chat Box.

Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation
 Empowerment ROJOSON’S REQUEST:
objective - for
FEEDBACK TO THIS
laypeople to have an
Clinical PEP TALK!
essential
Diagnostic understanding of Pls. type in your
Algorithm for Clinical Diagnostic feedback in the chat
Common Algorithm for box during the open
Surface Lumps Common Surface forum and before we
adjourn!
Lumps in their health
management. Thank you!
 LET’S NOW HAVE A
Empowerment GROUP PICTURE
objective - for TAKING BEFORE WE
laypeople to have an START PEP TALK
Clinical essential PROPER IN 2
Diagnostic MINUTES!
understanding of
Algorithm for Clinical Diagnostic Pls. turn on your
Common Algorithm for video!
Surface Lumps Common Surface Show your face!
Lumps in their health
management.
 Empowerment
objective - for ROJoson PEP Talk
laypeople to have an
Clinical I have a Patient
essential Empowerment
Diagnostic understanding of Program in which I
Algorithm for Clinical Diagnostic like to empower the
Common Algorithm for lay people or
Surface Lumps Common Surface patients to take
Lumps in their health control in the
management of
management. their health.
I started the PEP Talk
on May 15, 2021.
There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.
 From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer depending on
our enthusiasm,
discipline and
perseverance.
 My PEP TALK today is
Empowerment entitled:
objective - for Clinical Diagnostic
laypeople to have an Algorithm for
Clinical essential Common Surface
Diagnostic understanding of Lumps
Algorithm for Clinical Diagnostic
Common Algorithm for
Surface Lumps Common Surface
Lumps in their health
management.
 Contents Disclaimer:
Clinical • What is a surface lump?
Diagnostic • How common is a surface lump? ROJoson PEP Talk
Algorithm for • What is the importance of knowing how to contains ROJoson’s
manage a surface lump? Thoughts,
Common • What is a clinical diagnostic algorithm? Perceptions,
Surface Lumps • What is the importance of knowing the clinical Opinions and
diagnostic algorithm of surface lump? Recommendations
• What are the clinical diagnostic algorithms of (TPORs) culled from
common surface lumps? experiences of other
professionals and
ROJoson.
 What is a surface lump?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
 What is a surface lump?
Clinical
Diagnostic A surface lump is a mass or bukol that is located
Algorithm for on the surface of the body, one that can be
touched, palpated and evaluated by the
Common examining fingers at least if not seen by the
Surface Lumps naked eyes.

Some surface lumps can be seen and touched.

Some surface lumps cannot be seen but can be
touched or palpated.
 What is a surface lump?
Clinical
Diagnostic Examples of surface lumps:
Algorithm for
• Lumps on the skin and soft tissues
Common • Lumps on the scalp, face and mouth
Surface Lumps • Lumps on the thyroid gland and neck
• Lumps on the wall of the trunk and abdomen
• Lumps on the extremities
• Lumps on the anus
• Lumps on the breasts
 What is a surface lump?
Clinical
Diagnostic Examples of surface lumps:
Algorithm for
Common
Surface Lumps
 What is a surface lump?
Clinical
Diagnostic Examples of surface lumps:
Algorithm for
Common
Surface Lumps
 What is a surface lump?
Clinical
Diagnostic Examples of surface lumps:
Algorithm for
Common
Surface Lumps
 What is a surface lump?
Clinical
Diagnostic Examples of surface lumps:
Algorithm for
Common
Surface Lumps
 What is a surface lump?
Clinical
Diagnostic Examples of surface lumps:
Algorithm for
Common
Surface Lumps
 What is a surface lump?
Clinical
Diagnostic Examples of surface lumps:
Algorithm for
Common
Surface Lumps
 What is a surface lump?
Clinical
Diagnostic Examples of surface lumps:
Algorithm for
Common
Surface Lumps
 What is a surface lump?
Clinical
Diagnostic Examples of surface lumps:
Algorithm for
Common
Surface Lumps
 l
How common is a surface lump?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
 pa
How common is a surface lump?
Clinical
Diagnostic Common to the point of very common!
Algorithm for
Because all of these parts of the human body can
Common
give rise to a surface lump.
Surface Lumps • skin and soft tissues
• scalp, face and mouth
• thyroid gland and neck
• wall of the trunk and abdomen
• extremities
• anus
• breasts
 l
What is the importance of knowing how to
Clinical manage a surface lump?
Diagnostic
Algorithm for
Common
Surface Lumps
 l
What is the importance of knowing how to manage
To allay snd
Clinical a surface lump?
shorten the instant
Diagnostic anxiety, because
Algorithm for Not only are surface lumps being very common. the surface lumps
Common may not be cancer
They cause instant anxiety once a surface lump is
Surface Lumps discovered. First reaction is usually, “Oh no, baka I afterall, all
laypeople should
have cancer na.”
be empowered to
know the cues for
For all surface lumps, the first question to answer is
non-cancers beside
what is it. While trying to get the diagnosis, one
knowing the cues
cannot help but think (and worry) that all surface
for cancer.
lumps have the possibility of being cancer.
 l
What is the importance of knowing how to manage
To allay snd
Clinical a surface lump?
shorten the instant
Diagnostic anxiety, because
Algorithm for Not only are surface lumps are common. the surface lumps
Main reason for this ROJoson PEP Talk.
Common may not be cancer
They cause instant anxiety once a surface lump is
Surface Lumps discovered. First reaction is usually, “Oh no, baka I afterall, all
laypeople should
have cancer na.”
be empowered to
know the cues for
For all surface lumps, the first question to answer is
non-cancers beside
what is it. While trying to get the diagnosis, one
knowing the cues
cannot help but think (and worry) that all surface
for cancer.
lumps have the possibility of being cancer.
 u
What is a clinical diagnostic algorithm?
Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
 s
What is a clinical diagnostic algorithm? Clinical diagnostic
Clinical algorithm of surface
Diagnostic Because a surface lump can be cancer or not lumps is the process
Algorithm for cancer, a layperson should be empowered to of making a
know the cues for cancer and not cancer based diagnosis based
Common
on looking and palpating. mainly on
Surface Lumps recognition of
The clinical diagnostic algorithm will guide the patterns (or cues) for
laypeople on how to recognize cancer / not cancer and not
cancer in surface lumps, just based on looking cancer.
and palpating (CLINICAL).
 um
What is the importance of knowing the clinical
Clinical diagnostic algorithm of surface lumps?
Diagnostic
Algorithm for
Common
Surface Lumps
 What is the importance of knowing the clinical
Clinical diagnostic algorithm of surface lumps?
Diagnostic
Algorithm for So that
• fear can be allayed as soon as possible once a
Common
surface lump appears or develops (if laypeople
Surface Lumps know the cues for cancer and not cancer.
• laypeople knows when to consult a physician.
• early consult with a physician may be
promoted.
• early diagnosis and treatment may be
promoted.
 What are the clinical diagnostic algorithms of
Clinical common surface lumps?
Diagnostic
Algorithm for
Common
Surface Lumps
 What are the clinical diagnostic algorithms of
Clinical common surface lumps?
Diagnostic
Algorithm for First review or know the definition of a surface
lump:
Common
Surface Lumps A surface lump is a mass or bukol that is located
on the surface of the body, one that can be
touched, palpated and evaluated by the
examining fingers at least if not seen by the
naked eyes.
 Surface lumps are
What are the clinical diagnostic algorithms of
Clinical not induration or
common surface lumps?
thickening and are
Diagnostic not enlargement.
Algorithm for Foremost question to answer: based on palpation
by the examining fingers of the person himself /
Common Surface lumps are
herself, is there a surface lump or not?
Surface Lumps masses or bukol,
have 3 dimensional
Remember this definition:
configuration when
A surface lump is a mass or bukol that is located
palpated.
on the surface of the body, one that can be
May be round or
touched, palpated and evaluated by the
oval.
examining fingers at least if not seen by the
naked eyes.
 What are the clinical diagnostic algorithms of common
Clinical surface lumps?

Diagnostic Surface Lump

Algorithm for
Yes No
Common
Surface Lumps
A surface lump is a mass or bukol that is located on the
surface of the body, one that can be touched, palpated and
evaluated by the examining fingers at least if not seen by
the naked eyes.

Not induration or thickening and are not enlargement!

 What are the clinical diagnostic algorithms of
Clinical common surface lumps? Depending on the
location of the surface
Diagnostic lump, the initial
Algorithm for If the answer is “yes, there is a surface lump,” the diagnosis could be:
next question to answer where is it LOCATED? On • Lump on the head
Common
which part of the body is the surface lump • Lump on the face
Surface Lumps LOCATED? • Lump on the neck
• Lump on the trunk
(chest or abdominal)
Head, scalp, face, mouth, neck, trunk, • Lump on the
extremities, anus, breast? extremities (upper /
lower / hand, foot.
etc.)
• Lump on the anus
• Lump on the breast
 What are the clinical diagnostic algorithms of common
Clinical surface lumps? Depending on the
location of the surface
Diagnostic (+) Surface Lump lump, the initial
Algorithm for diagnosis could be:
• Lump on the head
Common Location
• Lump on the face
Surface Lumps • Lump on the neck
• Lump on the trunk
(chest or abdominal)
• Lump on the
extremities (upper /
lower / hand, foot.
etc.)
• Lump on the anus
• Lump on the breast
 What is a surface lump?
Clinical
Diagnostic Examples of surface lumps:
Algorithm for
Common
Surface Lumps

Lump on the scalp Lump on the face

 What is a surface lump?
Clinical
Diagnostic Examples of surface lumps:
Algorithm for
Common
Surface Lumps

Lump on the breast

 What are the clinical diagnostic algorithms of common
Clinical surface lumps? Depending on the
location of the surface
Diagnostic (+) Surface Lump lump, the initial
Algorithm for diagnosis could be:
Location • Lump on the head
Common • Lump on the face
Ex.
Surface Lumps If bony hard, • Skull tumors • Lump on the neck
Palpate to BONE lumps • Lump on the trunk
• Facial bone tumors
determine (chest or abdominal)
• Chest or rib tumors
whether • Lump on the
• Extremity bone
arising from a extremities (upper /
tumors
BONE or not lower / hand, foot.
If not bony hard, NOT BONE lumps, may be SKIN and SOFT etc.)
TISSUE lumps, soft organ lumps such as breast, lymph nodes, • Lump on the anus
etc. • Lump on the breast
 What are the clinical diagnostic algorithms of common
Clinical surface lumps? Depending on the
location of the surface
Diagnostic (+) Surface Lump lump, the initial
Algorithm for diagnosis could be:
Location • Lump on the head
Common • Lump on the face
Surface Lumps SKIN lump • Lump on the neck
• Lump on the trunk
(chest or abdominal)
If not BONE SOFT TISSUE lump, e.g. lump from • Lump on the
lump fatty tissue, from muscle extremities (upper /
lower / hand, foot.
SOFT ORGAN lump, e.g. lymph nodes, etc.)
thyroid lump, parotid lump, breast • Lump on the anus
lump, etc. • Lump on the breast
 What is a surface lump?
Clinical
Diagnostic Examples of surface lumps:
Algorithm for
Common
Surface Lumps

Skin lump Soft tissue lump

 What is a surface lump?
Soft organ lumps
Clinical
Diagnostic Examples of surface lumps:
Algorithm for
Common
Surface Lumps

Thyroid lump
Lymph node lump
Parotid lump
 What are the clinical diagnostic algorithms of common
Clinical surface lumps? Depending on the
location of the surface
Diagnostic (+) Surface Lump lump, the initial
Algorithm for diagnosis could be:
Location • Lump on the head
Common • Lump on the face
Surface Lumps BONE Lump NON-BONE Lump • Lump on the neck
• Lump on the trunk
(chest or abdominal)
• SKIN lump
• Lump on the
• SOFT TISSUE Lump
extremities (upper /
• SOFT ORGAN Lump
lower / hand, foot.
etc.)
• Lump on the anus
CANCER or NOT CANCER? • Lump on the breast
 Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
 Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Signs of Inflammation Diagnosis:
PUS Inflammatory /
REDNESS If positive infectious lump
TENDERNESS
WARMTH NOT CANCER
 Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Signs of Inflammation Diagnosis:
PUS Inflammatory /
REDNESS If positive infectious lump
TENDERNESS
WARMTH NOT CANCER
 Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
Signs of Inflammation Diagnosis:
PUS Inflammatory /
REDNESS If positive infectious lump
TENDERNESS
WARMTH NOT CANCER
 Clinical
Diagnostic
Algorithm for
Signs of Malignancy or Cancer
Common Invasion of adjacent tissues (such as skin and muscle and bone)
Surface Lumps – ulcerations / fixation
Presence of spread to lymph nodes and distant organs

Cystic lump (contains fluid)

 Clinical
Diagnostic
Algorithm for
Signs of Malignancy or Cancer
Common Invasion of adjacent tissues – ulcerations / fixation
Surface Lumps Presence of spread to lymph nodes and distant
organs

Cystic lump (contains fluid)

 Clinical
Diagnostic
Algorithm for
Signs of Malignancy or Cancer
Common Invasion of adjacent tissues – ulcerations / fixation
Surface Lumps Presence of spread to lymph nodes and distant
organs

Cystic lump (contains fluid)

 What are the clinical diagnostic algorithms of common
Clinical surface lumps? Depending on the
location of the surface
Diagnostic (+) Surface Lump lump, the initial
Algorithm for diagnosis could be:
Location • Lump on the head
Common • Lump on the face
Surface Lumps BONE Lump NON-BONE Lump • Lump on the neck
• Lump on the trunk
(chest or abdominal)
• SKIN lump
• Lump on the
• SOFT TISSUE Lump
extremities (upper /
• SOFT ORGAN Lump
lower / hand, foot.
etc.)
• Lump on the anus
CANCER or NOT CANCER? • Lump on the breast
 Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
 Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
 Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
 Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
 Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
 Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
 Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
 Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
 Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
 Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
 Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
 Clinical
Diagnostic
Algorithm for
Common
Surface Lumps
 Contents
Summary
Clinical • What is a surface lump?
• How common is a surface lump? Take Away
Diagnostic
Algorithm for • What is the importance of knowing how to
manage a surface lump?
Common • What is a clinical diagnostic algorithm?
Surface Lumps • What is the importance of knowing the clinical
diagnostic algorithm of surface lump?
• What are the clinical diagnostic algorithms of
common surface lumps?
 What is the importance of knowing the clinical
Clinical diagnostic algorithm of surface lumps?
Diagnostic
Algorithm for So that
• fear can be allayed as soon as possible once a
Common
surface lump appears or develops (if laypeople
Surface Lumps know the cues for cancer and not cancer.
• laypeople knows when to consult a physician.
• early consult with a physician may be
promoted.
• early diagnosis and treatment may be
promoted.
 Be always in touch with reliable medical Take Away in
Clinical information on Clinical Diagnostic relation to
Diagnostic Algorithm for Common Surface Lumps! Patient
Algorithm for
Knowledge is power; it gives power. Empowerment
Common
Surface Lumps Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan to gain greater control over
decisions / make better decisions on
Clinical Diagnostic Algorithm for Common
Surface Lumps in your health
management.
 Empowerment
objective - for
laypeople to have an
Clinical essential
Diagnostic understanding of
Algorithm for Clinical Diagnostic
Common Algorithm for
Surface Lumps Common Surface
Lumps in their health
management.
Reminder after the PEP
Talk:

Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.

Link is in Chat Box.

Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation
 Empowerment ROJOSON’S REQUEST:
objective - for
FEEDBACK TO THIS
laypeople to have an
Clinical PEP TALK!
essential
Diagnostic understanding of Pls. type in your
Algorithm for Clinical Diagnostic feedback in the chat
Common Algorithm for box during the open
Surface Lumps Common Surface forum and before we
adjourn!
Lumps in their health
management. Thank you!
 LET’S NOW HAVE A
Empowerment GROUP PICTURE
objective - for TAKING BEFORE WE
laypeople to have an START Q&A AND
Clinical essential INTERACTIONS!
Diagnostic understanding of
Algorithm for Pls. turn on your
Clinical Diagnostic video!
Common Algorithm for Show your face!
Surface Lumps Common Surface
Lumps in their health
management.