Thyroid Exam Flashcards
1
Q
General
A
Expose neck Ask about pain Relaxed/ anxious/ fidgety hot/ cold facial complexion Body habitus
2
Q
Hands
A
Thyroid Acropatchy Oncholysis Palmar erythema Clammy Dry Fine tremor Pulse
3
Q
Face
A
Complexion - waxy pale, or flushed Hair loss at eyebrows + around face Exophthalmos Lid retraction Eye movements Lid lag
4
Q
Neck
A
Skin changes Scars Swelling Watch swallow Stick out tongue
5
Q
Palpation
A
Down from adams apple down to cricoid cartilage Find Isthmus Palpate laterally Swallow water Protrude tongue
6
Q
Comment on thyroid
A
Size Symmetry Smooth/nodular Masses Palpable thrill Lymph nodes Trachea
7
Q
Percussion
A
Down from sternal notch for retrosternal goitre
8
Q
Auscultation
A
For bruit - hold breath
9
Q
Special Tests: (3)
A
- Reflexes
- Pre-tibial myxoedema
- Proximal Myopathy
10
Q
End pieces
A
Thyroid Function tests - TSH, T4, USS
Full thyroid history
