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  • Thyroid exam guide with inspection and palpation points

    Diunggah oleh

    Geraldine Ong
    57 tayangan2 halaman
    The document provides instructions for examining a patient's thyroid, including inspecting the general appearance, hands, face, eyes, and neck as well as palpating, percussing, and auscultating the neck. Specific things to look for on inspection include signs of anxiety, goiter, lid retraction, thyroid enlargement, lymph nodes, and Pemberton's sign. Examination should also check for abnormalities of the pulse, skin, muscles, reflexes, and presence of murmurs.

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    Thyroid Examination

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    The document provides instructions for examining a patient's thyroid, including inspecting the general appearance, hands, face, eyes, and neck as well as palpating, percussing, and auscultating the neck. Specific things to look for on inspection include signs of anxiety, goiter, lid retraction, thyroid enlargement, lymph nodes, and Pemberton's sign. Examination should also check for abnormalities of the pulse, skin, muscles, reflexes, and presence of murmurs.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    57 tayangan2 halaman

    Thyroid exam guide with inspection and palpation points

    Diunggah oleh

    Geraldine Ong
    The document provides instructions for examining a patient's thyroid, including inspecting the general appearance, hands, face, eyes, and neck as well as palpating, percussing, and auscultating the neck. Specific things to look for on inspection include signs of anxiety, goiter, lid retraction, thyroid enlargement, lymph nodes, and Pemberton's sign. Examination should also check for abnormalities of the pulse, skin, muscles, reflexes, and presence of murmurs.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 2

    Thyroid Examination

    Introduction GENERAL INSPECTION


    (1) Alert, Well, Comfortable, No signs of respi distress (2) Well composed ; 2.1) No Anxiety, Weight loss, Frightened face 2.2) No Mental dullness, Lethargy or Restlessness

    HANDS
    (1) Pulse 1. 2. 3. 5. Tachycardia Collapsing pulse Atrial fibrillation Moist ; Not excessively warm nor sweaty 4. Bradycardia

    (2) Moisture & Temperature

    6. No cold peripheries & dryness

    (3) (4) (5) (6)

    Palmar erythema Thyroid acropachy Onycholysis Fine resting tremor of outstretched hands

    FACE
    (1) (2) (3) (4) (5) Alopecia / Scalp hair loss Hair texture Not brittle / coarse Loss of lateral 1/3 of eyebrow Myxoedema Macroglossia

    EYES
    (1) (2) (3) (4) (5) Xanthelasmata Exopthalmos or Proptosis Lid retraction Lid lag Extraocular movements

    Move finger into field of pt (Only move eyes; not head) H test

    NECK
    Inspection (1) Thyroidectomy scar (2) Goitre / Enlargement (3) Patient swallows sip of water (4) Protrude tongue - Thyroglossal duct cyst From back (5) Cervical / Supraclavicular lymph nodes (6) Thyroid - Size, Mobility, Texture (smooth/ nodular), Tender From front (7) Thyroid (8) Tracheal deviation (9) Pembertons sign - Cyanosis; Congestion; Distended veins (SVC obstruction) (10) Percuss manubrium for dullness retrosternal extension (11) Thyroid Bruit

    Palpate

    Percuss Ascultate

    OTHERS
    (1) Proximal Myopathy (2) Reflexes ( Abnormal Briskness ; Hung up reflex slowly relaxing) (3) Examine legs : 3.1) Pretibial myxoedema (4) Systolic Flow murmur

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