Thyroid Exam Flashcards
What signs on general inspection could indicated hyper/hypothyroidism
Hyperthyroidism:
Agitated
Anxious
fidgety
Hypothyroidism:
fatigued
What signs do you look for on the hands
Dorsal: Thyroid acropachy (Grave's)
Palmar:
Palmar Erythema - Hyperthyroidism
Sweating - hyperthyroidism
Dry skin - Hypothyroidism
What does a peripheral tremor indicate
Hyperthyroidism
What can pulse indicate
Slow - Hypothyroidism
fast - hyperthyroidism
Irregular rhythm (atrial fibrillation) - Hyperthyroidism
What signs could you look for on the face
Hyperthyroidism:
Sweating
Hypothyroidism:
Dry skin
Loss of outer third eyebrow
What eye signs could you look for
Exophthalmos - Grave’s
Lid retraction (sclera visible above iris) - Hyperthyroidism
What are you observing during the H test
Restriction of eye movements
What are you looking for in the neck
Skin changes - Erythema
Scars - Thyroidectomy
Masses - Goitre/Lymph node
What does drinking water help indicate
Observing movement of masses with swallowing
What do types of movement during tongue protrusion indicate
No movement:
Thyroid gland mass
Lymph node
Upward movement:
Thyroglossal cyst
What does sticking your tongue out during palpation help indicate
Thyroglossal cyst (upwards movement)
What does swallowing during palpation help indicate
Symmetry of lobe elevation - asymmetry may suggest unilateral thyroid mass
What can lymphadenopathy indicate
Thyroid malignancy
What can tracheal deviation indicate
Large goitre
What can retrosternal dullness on percussion indicate
Large goitre extending inferiorly
