Thyroid Examination Wail Alamoudi General examination Local examination
- Slides: 29
Thyroid Examination Wail Alamoudi
• General examination • Local examination
Local examination • Inspection • ( at rest , tongue , swallowing , raising both hands ) • Palpation • Percussion • Auscultation
Inspection at rest • Tip the patients head back a bit • Inspect thyroid gland & scar • A visibly enlarged thyroid gland is called a goiter. • Note whether it is visible and symmetrical
Is This a Thyroid? • Ask patient to stick tongue out while palpating: Should NOT move • Ask patient to swallow water: Should move Thyroglossal cyst
Inspection while raising hands 1. pemberton's sign ( retrosternal goiter ) development of facial flushing, distended neck and head superficial veins, inspiratory strider and elevation of the jugular venous pressure (JVP) upon raising of the patient's both arms above head 2. Proximal myopathy
palpation ANATOMIC BONDARIES OF THYROID • Cricoid cartilage • Suprasternal notch • Carotid arteries
ANATOMIC RELATIONSHIPS OF THE THYROID
Palpation
Palpation • • • Palpate thyroid gland from behind Localize anatomic boundaries Thyroid isthmus is often palpable Thyroid lobes are barely or not palpable The consistence is rubbery, similar to that of sternomastoid muscle
Classical Clinical Examination The following information could be obtained ývolume ýconsistency ýmobility of the thyroid gland ýsurface ýtemperature ýsensibility
Percussion On the upper part of the manubrium looking for retrosternal goiter
Auscultation Looking for bruit over each thyroid lobe
• General examination • Local examination
General inspection • • body built Eyes & Face Hands Arms & Legs
body built • Thin • Obese
Face 1. malar flush 2. Hair loss Eyes 1. 2. 3. 4. Exophthalmos Lid retraction Lid lag Xanthelasma
Hands 1. 2. 3. 4. 5. 6. 7. 8. Sweaty hand Temperature Acropachy (clubbing) Onycholysis( plummer’s nails ) Palmer erythema vitiligo Tremor Pulse
Legs and Arms • Proximal myopathy • Reflexes • Pretibial myxedema
Wail Alamoudi 0504649662
• Identify the cricoid cartilage with the fingers of both hands. • Move downward two or three tracheal rings while palpating for the isthmus. • Move laterally from the midline while palpating for the lobes of the thyroid. • Note the size, symmetry, and position of the lobes, as well as the presence of any nodules. The normal gland is often not palpable.
- Pizillo's method
- Lahey's method
- A "think local, act local" multidomestic type of strategy
- Strategies for competing in international markets
- Local vertical local horizontal frame
- A think local act local multicountry type of strategy
- General appearance medical
- General urine examination
- Inspection auscultation percussion palpation
- Positioning and draping for physical examinations
- General examination
- Planos en cinematografia
- Where did general lee surrender to general grant?
- Thyroid anatomy
- Parathyroid gland innervation
- Shrsies
- Esmo guidelines thyroid cancer
- Graves disease mnemonic
- Thyroid pathology
- Calcitonin
- Symptoms of thyroid
- Eye signs of thyrotoxicosis
- Palak choksi
- Colloid thyroid histology
- Thyroid cupping points
- Thyroid gland cells
- Polyarteritis nodosa symptoms
- Duroferon erfaringer
- Is the thyroid gland part of the lymphatic system
- Thyroid resistance syndrome