Thyroid Flashcards
1
Q
peripheral thyroid status
A
lid retraction/lag clubbing + onycholysis fine tremor + moist palms slow relaxation of biceps reflex - hypothyroid tachy + AF proximal myopathy pretibial myxoedema
2
Q
grave’s eye disease
A
oedema
proptosis
retraction
upgaze palsy - ophthalmoplegia
3
Q
what lumps can you get in the middle of the neck?
A
goitre
thyroglossal cyst
4
Q
what lumps can you get on the lateral neck?
A
LN solitary thyroid nodule sebaceous cyst, lipoma salivary glands cystic hygroma, branchial cyst vascular - aneurysm, carotid body tumour neurofibroma
5
Q
thyroid exam - what might you see when pt swallows?
A
goitre moves up
6
Q
thyroid exam - what might you see when pt sticks out tongue?
A
thyroglossal cyst moves up
7
Q
mult nodular goitre - how does it feel on palpation?
A
often smooth, firm
can be nodular
8
Q
differentials for a goitre?
A
simple/physiological/colloid/non-toxic - small, smooth
multinodular
graves
hashimoto’s - firm, small, medium
9
Q
graves - how would the goitre feel?
A
smooth, soft
+- bruit
