Archive:Thyroid Exam - Revision history

wikademia>Wikademia: moved Thyroid Exam to Archive:Thyroid Exam

2009-06-14T20:31:13Z

moved Thyroid Exam to Archive:Thyroid Exam

← Older revision	Revision as of 20:31, 14 June 2009
(No difference)

wikademia>Wikademia at 06:50, 11 April 2009

2009-04-11T06:50:39Z

← Older revision		Revision as of 06:50, 11 April 2009
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	==The Thyroid Exam==		==The Thyroid Exam==
			{{ntnes}}
	===Vital Signs===		===Vital Signs===
	*HR (brady/tachycardia)		*HR (brady/tachycardia)

wikademia>Wikademia: 4 revisions

2009-04-08T16:05:25Z

4 revisions

← Older revision	Revision as of 16:05, 8 April 2009
(No difference)

wikademia>HenkvD: corr cat

2009-02-17T19:06:11Z

corr cat

← Older revision		Revision as of 19:06, 17 February 2009
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	==More OSCE Modules==		==More OSCE Modules==
	{{OSCE2}}		{{OSCE2}}
	[[Category:~~Endocriology~~]][[Category:OSCE]][[Category: Clinical Skills]]		[[Category:Endocrinology]][[Category:OSCE]][[Category: Clinical Skills]]

wikademia>Donek at 01:14, 25 June 2008

2008-06-25T01:14:07Z

← Older revision		Revision as of 01:14, 25 June 2008
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	==More OSCE Modules==		==More OSCE Modules==
	{{OSCE2}}		{{OSCE2}}
	[[Category:~~Medicine~~]][[Category:OSCE]]		[[Category:Endocriology]][[Category:OSCE]][[Category: Clinical Skills]]

wikademia>Dr.Magdy: /* The Thyroid Exam */

2008-04-24T13:02:34Z

The Thyroid Exam

← Older revision		Revision as of 13:02, 24 April 2008
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	*elevate, extend, rotate both arms for 3 min		*elevate, extend, rotate both arms for 3 min
	*goiter → presyncope, SOB, cyanosis, plethora (compression of artery and veins)		*goiter → presyncope, SOB, cyanosis, plethora (compression of artery and veins)

			== Videos of Proper Examination ==
			* [http://www.medicalvideos.us/videos-407-Thyroid-Gland-Examination Medical Examination of thyroid Gland]
			* [http://www.medicalvideos.us/videos-417-thyroid-exam-video-of-swelling Surgical Examination of a thyroid swelling]
			* [http://www.medicalvideos.us/videos-516-Thyroid-status-examination Examination of clinical status of thyroid hormones]

	==Signs of Thyrotoxicosis==		==Signs of Thyrotoxicosis==

wikademia>Koppertone: New page: ==The Thyroid Exam== ===Vital Signs=== HR (brady/tachycardia) BP (wide pulse pressure) ===Inspection=== *medial and inferior, isthmus crosses trachea between 2nd and 4th tracheal ring ...

2007-05-18T22:42:40Z

New page: ==The Thyroid Exam== ===Vital Signs=== *HR (brady/tachycardia) *BP (wide pulse pressure) ===Inspection=== *medial and inferior, isthmus crosses trachea between 2nd and 4th tracheal ring ...

New page

==The Thyroid Exam==

===Vital Signs===
*HR (brady/tachycardia)
*BP (wide pulse pressure)

===Inspection===
*medial and inferior, isthmus crosses trachea between 2nd and 4th tracheal ring
*each lobe should be no larger than the distal phalanges of the patient’s thumb
*obliteration of the medial borders of SCM muscles
**have the patient slightly extend their neck and to swallow a sip of water
**assess for a ≥ 2 mm increase in the horizon of the lateral view of the neck over the area of the thyroid isthmus, especially if it moves upwards during swallowing
*assess for asymmetry, masses, erythema, deviation of the trachea

===Palpation===
*cervical nodes, tracheal deviation
*CAROTID PULSE - absence indicates malignant thyromegaly '''(Berry’s Sign)'''
*Tenderness
*start from under the suprasternal notch, medial the SCM

====Anterior Approach====
*face the patient sitting, have pt turn head to relax a SCM; with your hand, displace the trachea to that side and palpate while she swallows

====Posterior Approach====
*index finger just below the cricoid
*displace trachea and palpate as the patient swallows

*DESCRIBE: size, symmetry, consistency

===Auscultation===
*over thyroid lobes for a BRUIT ('''thyrotoxicosis''')

===Special Tests===
'''PEMBERTON’S TEST'''
*elevate, extend, rotate both arms for 3 min
*goiter → presyncope, SOB, cyanosis, plethora (compression of artery and veins)

==Signs of Thyrotoxicosis==

===General===
*fatigue
*agitation, nervousness
*heat intolerance

===GI===
*↓ weight

===Dermatological===
*warm and moist skin
*fine hair
*thyroid acropatchy (clubbing)
*onycholysis
*pretibial myxedema

===Cardiovascular===
*tachycardia
*↑ pulse pressure, systolic outflow tract murmurs
*a fib

===Neurological===
*fine tremor - place piece of paper on patient's outstretched hand
*hyperreflexia

===Musculoskeletal===
*proximal muscle weakness

===Opthalmologic===
*lid lag
*stare with ↓ blink
*widened palpebral fissures

====Grave's Disease Opthalmopathy====
*proptosis/exopthalmos - bulging eye
*chemosis - eye irritation
*EOM dysfunction (up gaze)
*corneal ulcerations
*optic nerve entrapment

==More OSCE Modules==
{{OSCE2}}
[[Category:Medicine]][[Category:OSCE]]