Examination of a Thyroid Swelling-Page 1

This is page 1. Go to page 2,3,4

Examination of a Thyroid Swelling
Inspection1. Size : ……X………..
Shape : Ovoid / Spherical / Irregular
Location: One side / mid line / both sides of mid line

2. Extent: Horizontal from Sternomastoid… Vertical from Suprasternal Notch…
The swelling is: Under Sternomastoid / Not under Under sternum / Not under
3. Surface: Smooth / Nodular / Bosselated
4. Skin over the swelling:
Redness and edema, Scars of previous surgery, Sinuses, Dilated veins

5. Pulsatility : Present / Absent

6. Movement with Deglutition: Present / Absent
Protrusion of Tongue (For midline swellings): Present / Absent

Palpation

1. Temperature: Normal / Raised 2. Tenderness : Present / Absent
3. Size: … X … 4. Shape: Ovoid / Spherical / Irregular
5. Extent: Horizontal from Sternomastoid… Vertical from Suprasternal Notch…
The swelling is: Under Sternomastoid / Not under Under sternum / Not under
6. Standard Method of palpation of Thyroid
A. In case of affection of entire gland,
i) Surface : Smooth / Bosselated
ii) Consistency : Uniform (Soft / Firm / Hard) / Variable
iii) Retrosternal Extension : Present / Absent
B. Single Nodule Or One Lobe,
i) Location : Lobe / Isthmus
ii)Consistency: Soft / Firm
iii) Is the rest of the gland palpable ? Yes / No

7. Lahey’s Method of Palpation of Thyroid:
Consistency: Nodules: Present / Absent

8. Crile’s Method of Palpation of Thyroid: Nodules : Present / Absent

9. Palpabale Thrill : Present / Absent 10. Fixity to skin : Fixed / Not Fixed

11. Mobility : Horizontal:Mobile / Fixed Vertical: Mobile / Fixed
12. Palpation of Trachea : Palpable / Not Palpable, Deviated / Not deviated
Kocher’s Test : Positive / Negative

13. Palpation of carotids : Berry’s Sign Positive / Negative

This is page 1. Go to page 2,3,4

Submitted by Chetab Raj and Bhargava, JJM Medical college.

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6 Comments

  1. 5, September , 2006 at 5:51 pm

    […] 1. Exam of thyroid swelling” HREF=”https://thegunnybag.wordpress.com/2006/06/30/examination-of-a-thyroid-swelling-page-1/”>Examination of Thyroid swelling (by Bhargava.A and Chetan Raj .B , 2002-03 batch, JJMMC.) […]

  2. drjalilmujawar said,

    18, May , 2007 at 12:29 pm

    nice

  3. Nukleuz said,

    23, February , 2009 at 9:51 pm

    Good but what is Lahey’s method and how to take that test. Can you reply to nukleursanz@gmail.com?

  4. sayela said,

    25, June , 2009 at 9:24 pm

    for examination of each lobe.,stand in front of the patient.if u want to palpate the left lobe,for example..push the thyroid to left with one handfrm the right side and palpate the lobe with the other hand..becomes more prominent..

  5. ayesha amjad said,

    12, January , 2010 at 5:38 pm

    this site is realy helpful in understanding the topic…but it would be more beneficial if u guys explain the tests also.

  6. alishba said,

    19, September , 2010 at 8:39 pm

    plz do give a brief description about each of the tests given in the context


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