Clinical skills: hypothyroid exam Flashcards
1
Q
Parts of the hypothyroid exam?
A
Initial approach
General inspection
Vital signs
Hands and arms
Face
Neck
Thyroid
Chest
Legs
2
Q
General inspection?
A
- Goitre
- Body build, puffy facial appearance
- Cold intolerance
- Mental state (slowed thinking or difficulty concentrating)
- Slow nasal speech
- Hoarseness of voice
- Hearing issues
3
Q
Hands and arms
- Inspection?
A
4
Q
Hands and arms
- Tests?
A
Proximal myopathy
Biceps tendon - hung up reflex
Carpal tunnel - Tinnel’s/Phalen’s test
5
Q
Face
- Inspection?
A
6
Q
Neck?
A
Cervical lymph nodes
Trachea - look and palpate for deviation
Pemberton’s sign
7
Q
Thyroid: is it the same as hyperthryoid?
A
Yes - except don’t need to listen for bruit
8
Q
Chest?
A
Heart: 4 valves for pericardial effusion
Lungs: ausculate and percuss lung bases for pleural effusion?
9
Q
Legs?
A
- Non pitting oedema
- Proximal myopathy
- Light touch and pain
