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2010_Thyroid Examination
2010_Thyroid Examination
2010_Thyroid Examination
2010_Thyroid Examination
2010_Thyroid Examination
2010_Thyroid Examination
2010_Thyroid Examination
2010_Thyroid Examination
2010_Thyroid Examination
2010_Thyroid Examination
2010_Thyroid Examination
2010_Thyroid Examination
2010_Thyroid Examination
2010_Thyroid Examination
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2010_Thyroid Examination

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  • 1. Rangsima Poomsawat Public Health Nursing ,Faculty of Nursing, Chiang Mai University E mail : rangsima@chiangmai.ac.th to_rangsima@hotmail.com http://www.facebook.com/RangsimaPoomsawat http://www.slideshare.net/rpoom http://www.youtube.com/RangsimaPoomsawat http://www.facebook.com/pages/Nursing-Room-By-Rangsima/109937325743807?v=wall
  • 2. OBJECTIVE Symptoms Physical Examination Laboratory Special Investigation Principles 11/29/2010 2rangsima@chiangmai.ac.th
  • 3. 11/29/2010 3rangsima@chiangmai.ac.th
  • 4. 5x6x1cm. 11/29/2010 4rangsima@chiangmai.ac.th
  • 5. 11/29/2010 rangsima@chiangmai.ac.th Symptoms  คอโต มีก้อนที่คอ  Enlarged Thyroid  ใจสั่น Palpitation 5
  • 6. 11/29/2010 rangsima@chiangmai.ac.th 7
  • 7. Size/Shape Region Mobility Fix/removable Consistency Hard Firm Soft Tenderness 11/29/2010 8rangsima@chiangmai.ac.th
  • 8. 11/29/2010 9rangsima@chiangmai.ac.th
  • 9. Vascularity –Bruits 11/29/2010 rangsima@chiangmai.ac.th 10
  • 10.  http://www.youtube.com/watch?v=L3WAnd3aS5Y  http://www.youtube.com/watch?v=JYb-io13fOA 11/29/2010 rangsima@chiangmai.ac.th 11
  • 11. Thyroid function test T3 T4 TSH Thyroid scan FNA Fine Needle Aspiration Excisional Biopsy การตรวจทางห้องปฏิบัติการและการตรวจพิเศษ 11/29/2010 12rangsima@chiangmai.ac.th
  • 12. RECORD  Thyroid Gland : – ปกติ - ไม่มีคอโต คลาต่อมไทรอยด์ไม่โต – ผิดปกติ – คอโต คลาต่อมไทรอยด์กลีบซ้ายโต ขนาดประมาณ 7x8 ซม. (หรือประมาณ 60 กรัม) ขอบเรียบ นุ่ม เคลื่อนไหวได้ กดไม่เจ็บ ไม่พบเสียง bruits 11/29/2010 rangsima@chiangmai.ac.th 13
  • 13. Q & A Rangsima Poomsawat Department of Public Health Nursing Faculty of Nursing, Chiang Mai University 11/29/2010 14rangsima@chiangmai.ac.th

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