Thyroid Examination Flashcards
1
Q
Thyroid Status Question
A
Menstrual cycle Skin - dry, oily Weight - loss, gain Appetite - increased, decreased Bowels - changes Temperature - hot, cold Energy Mood Palpitations
2
Q
General Inspection
A
Agitated Dressed appropriately Obvious goitre BMI Medications etc
3
Q
Hands and Arms
A
Temperature Colour Dry - hypothyroid Sweaty - hyperthyroid Thyroid acropachy - graves disease Oncholysis Palmar Erythema - hyperthyroidism Fine Tremor - hyperthyroid Pulse - fast (hyper), slow (hypo), irregular (thyrotoxicosis) Chicken wings - proximal myopathy
4
Q
Face
A
Dry skin - hypo Sweating - hyper Loss of outer third of eyebrow - hypo Exophthalmos - graves Proptosis Lid retraction Periorbital oedema H test - graves Lid lag - graves Peaches and cream complexion
5
Q
Neck Inspection
A
Masses - normal thyroid shouldn't be visible Goitre Scars Lymph nodes Swallow water Stick out tongue
6
Q
Neck Examination
A
Feel the thyroid - symmetry, size, consistency, nodular Stick out tongue Swallow water Lymph node examination Percuss for retrosternal goitre Auscultate thyroid for bruits Tracheal deviation
7
Q
Other
A
Reflexes
Pretibial myxoedema
Proximal myopathy of the lower limbs (stand up arms crossed)
8
Q
Further Examinations
A
TFTs - TSH and T4
ECG - if irregular pu;se
Further imaging - USS
