SlideShare a Scribd company logo
1. Initial Etiquettes
I. Greet and Introduce yourself
II. Assure confidentiality ; respect patient privacy and Comfort
III. Explain procedure to patient and ask for consent
IV. Be polite: say “please” & “thank you”
V. Clean and warm your hands.
VI. Position examiner: Inspection: Right side of patient.
2. Equipment required
1. Simulated patient
OR
Thyroid manikin
2. Hand sanitizer
3. watch
4. Disposable gloves
5. Weighing machine
6. Water bottle
7. Plain paper
8. Measuring tape.
Position of patient : Sitting
Approach: Inspection 1: Anterior 2: Lateral
Palpation 1: Posterior
2: Anterior: I: Lahey’s method II: Crile's method
3: General Examination
Look for. VDAAASH  Voice sound normal: husky, monotonous
 Demeanour ,mental state
 Abnormally hyper- or hypoactive
 Appearance e. g centralobesity
 Appear sweaty?
 Skin: Vitiligo, non-pitting edema
 Hair: Thin, frontal baldness, Hirsuitism.
..Hand :SPPTNP  Large sweaty fleshy hands
 Palmar erythema (hyperthyroidism)
 Pigmentation of hand crease
 Tremor : fine or coarse
 Nails: Acropachy (similar to clubbing), or Onycholysis (nail
comes away from the nail bed).
 Pulse: Tachy, bradycardia...
Thyroid Examination check list for student’s reference
Face,
Neck
& Chest
Face :
 Features of Cushing syndrome & acromegaly
Neck:
 Neck swelling (goitre)
 Cervical lymph nodes
 Obvious abnormalities, scars or swellings..
Breasts:
 Gynaecomastia
 Galactorrhoea..
Eyes
 Redness
 Strabismus
 Exophthalmos
 Ophthalmoplegia
 Visual field defect
 Lid lag
 Preorbital edema
 Lid retraction
 Proptosis
..Arms & legs Muscles power :
 Proximal myopathy
Pretibial myxoedema
Tendon reflexes :
 Hypo or hyperreflexia
Genitalia  Virilization
 Testicular volume
 Pubertal development
4: Examination of the Thyroid Gland
Inspection
1: Anterior approach  Skin changes: Erythema, ulceration,…
 Scars: Previous surgeries, post infection…
 Pulsation: Carotid pulsation
 Mass: Ask the patient to swallow sip of water thyroid mass
moves upwards
I: Midline neck
swelling
 No movement :Thyroid gland mass or lymph node
 Upward movement: Thyroglossal cyst
2: Lateral approach:
Palpation of thyroid gland
1: Posterior approach
2: Anterior approach
Ask if the patient feels tenderness /pain
1: Lahey’s method
2: Crile's method
Comment on the thyroid gland
1. Size
2. Position
3. Attachment
4. Consistency
5. Edge
6. Surface and shape
7. Pulsations:
8. Inflammation
9. Transillumination
Percussion
Over manubrium sterni : retrosternal extension
Auscultation
Systolic bruit: Primary toxic goitre
Neck circumference :
To monitor the growth rate of swelling
5: Cover the part and Thank the simulator

More Related Content

What's hot

Hernia examination by Dr Min Oo
Hernia examination by Dr Min OoHernia examination by Dr Min Oo
Hernia examination by Dr Min Oo
Dr. Rubz
 
Clubbing
ClubbingClubbing
Cardiovascular system examination
Cardiovascular system examinationCardiovascular system examination
Cardiovascular system examination
Ashish Dhandare
 
Inguinal hernia examination
Inguinal hernia examinationInguinal hernia examination
Inguinal hernia examination
Mohamed Mourad
 
Respiratory Exam
Respiratory ExamRespiratory Exam
Respiratory Exam
meducationdotnet
 
Varicose veins and management 1
Varicose veins and management 1Varicose veins and management 1
Varicose veins and management 1
prashanthsangu
 
Clinical examination peripheral vascular disease
Clinical examination peripheral vascular diseaseClinical examination peripheral vascular disease
Clinical examination peripheral vascular disease
Sankaranolla Anand
 
Thyroid Examination - General Surgery
Thyroid Examination - General Surgery Thyroid Examination - General Surgery
Thyroid Examination - General Surgery
Sana Rasheed
 
Ulcer
UlcerUlcer
Ulcer
Dr KAMBLE
 
Hydrocele
HydroceleHydrocele
Hydrocele
Abino David
 
Skin lesions
Skin lesionsSkin lesions
Skin lesions
Aakanksha Singh
 
Acute appendicitis
Acute appendicitisAcute appendicitis
Clinical examination of respiratory system
Clinical examination of respiratory systemClinical examination of respiratory system
Clinical examination of respiratory system
Saswat Subhankar
 
Systolic murmurs
Systolic murmursSystolic murmurs
Systolic murmurs
Dr.Aslam calicut
 
Stoma
StomaStoma
Lymph Node Examination
Lymph Node ExaminationLymph Node Examination
Lymph Node Examination
meducationdotnet
 
General examination
General examinationGeneral examination
General examination
Shaimaa Elkholy
 
Approach to history taking in a patient with fever
Approach  to  history  taking  in  a  patient  with  feverApproach  to  history  taking  in  a  patient  with  fever
Approach to history taking in a patient with fever
Reina Ramesh
 
Neck swelling - History taking, Causes, Classification
Neck swelling - History taking, Causes, ClassificationNeck swelling - History taking, Causes, Classification
Neck swelling - History taking, Causes, Classification
Tty Lim
 
Abdominal pain
Abdominal painAbdominal pain
Abdominal pain
Ahmad Fauzan
 

What's hot (20)

Hernia examination by Dr Min Oo
Hernia examination by Dr Min OoHernia examination by Dr Min Oo
Hernia examination by Dr Min Oo
 
Clubbing
ClubbingClubbing
Clubbing
 
Cardiovascular system examination
Cardiovascular system examinationCardiovascular system examination
Cardiovascular system examination
 
Inguinal hernia examination
Inguinal hernia examinationInguinal hernia examination
Inguinal hernia examination
 
Respiratory Exam
Respiratory ExamRespiratory Exam
Respiratory Exam
 
Varicose veins and management 1
Varicose veins and management 1Varicose veins and management 1
Varicose veins and management 1
 
Clinical examination peripheral vascular disease
Clinical examination peripheral vascular diseaseClinical examination peripheral vascular disease
Clinical examination peripheral vascular disease
 
Thyroid Examination - General Surgery
Thyroid Examination - General Surgery Thyroid Examination - General Surgery
Thyroid Examination - General Surgery
 
Ulcer
UlcerUlcer
Ulcer
 
Hydrocele
HydroceleHydrocele
Hydrocele
 
Skin lesions
Skin lesionsSkin lesions
Skin lesions
 
Acute appendicitis
Acute appendicitisAcute appendicitis
Acute appendicitis
 
Clinical examination of respiratory system
Clinical examination of respiratory systemClinical examination of respiratory system
Clinical examination of respiratory system
 
Systolic murmurs
Systolic murmursSystolic murmurs
Systolic murmurs
 
Stoma
StomaStoma
Stoma
 
Lymph Node Examination
Lymph Node ExaminationLymph Node Examination
Lymph Node Examination
 
General examination
General examinationGeneral examination
General examination
 
Approach to history taking in a patient with fever
Approach  to  history  taking  in  a  patient  with  feverApproach  to  history  taking  in  a  patient  with  fever
Approach to history taking in a patient with fever
 
Neck swelling - History taking, Causes, Classification
Neck swelling - History taking, Causes, ClassificationNeck swelling - History taking, Causes, Classification
Neck swelling - History taking, Causes, Classification
 
Abdominal pain
Abdominal painAbdominal pain
Abdominal pain
 

Similar to check list for thyroid gland examination.docx

ultimate to upload updated on 14september 2022 Thyroid examination.pptx
ultimate to upload updated on 14september 2022 Thyroid examination.pptxultimate to upload updated on 14september 2022 Thyroid examination.pptx
ultimate to upload updated on 14september 2022 Thyroid examination.pptx
Dr Shamshad Begum loni
 
Thyroid History and Physical Examination
Thyroid History and Physical Examination Thyroid History and Physical Examination
Thyroid History and Physical Examination
Alquds University
 
GeneralExamination (1).pptx
GeneralExamination (1).pptxGeneralExamination (1).pptx
GeneralExamination (1).pptx
HebaSalem41
 
GeneralExamination.pptx
GeneralExamination.pptxGeneralExamination.pptx
GeneralExamination.pptx
HebaSalem41
 
G.s clinical rounds.docx2017(1)
G.s clinical rounds.docx2017(1)G.s clinical rounds.docx2017(1)
G.s clinical rounds.docx2017(1)
Hisham Ahmed,M.D,PhD,MRCS
 
Thyroid gland
Thyroid glandThyroid gland
Thyroid gland
Soumyadev Satpathy
 
Health Assessment 1.docx
Health Assessment 1.docxHealth Assessment 1.docx
Health Assessment 1.docx
CITY NURSING SCHOOL
 
history taking Clinical assessment of endocrine system 2022.pdf
history taking  Clinical assessment of endocrine system 2022.pdfhistory taking  Clinical assessment of endocrine system 2022.pdf
history taking Clinical assessment of endocrine system 2022.pdf
Dr Shamshad Begum loni
 
Pathology of Endocrine Disorders
Pathology of Endocrine DisordersPathology of Endocrine Disorders
Pathology of Endocrine Disorders
Shashidhar Venkatesh Murthy
 
Exam of thyrod gland
Exam of thyrod glandExam of thyrod gland
Exam of thyrod gland
Shiva Kumar
 
Thyroid gland123
Thyroid gland123Thyroid gland123
Thyroid gland123
Brajesh Lahri
 
First-Aid-Made-Easy-Training-Presentation.pptx
First-Aid-Made-Easy-Training-Presentation.pptxFirst-Aid-Made-Easy-Training-Presentation.pptx
First-Aid-Made-Easy-Training-Presentation.pptx
Antony125853
 
First-Aid-Made-Easy-Training-Presentation (1).pptx
First-Aid-Made-Easy-Training-Presentation (1).pptxFirst-Aid-Made-Easy-Training-Presentation (1).pptx
First-Aid-Made-Easy-Training-Presentation (1).pptx
CapizPmdtCppo
 
Approach+to+a+patient+with+lymphadenopathy
Approach+to+a+patient+with+lymphadenopathyApproach+to+a+patient+with+lymphadenopathy
Approach+to+a+patient+with+lymphadenopathy
Abino David
 
Chapter 7. Emergency Care and Disaster Preparation
Chapter 7. Emergency Care and Disaster PreparationChapter 7. Emergency Care and Disaster Preparation
Chapter 7. Emergency Care and Disaster Preparation
MarleneDJ
 
First-Aid-Made-Training-Presentation.pptx
First-Aid-Made-Training-Presentation.pptxFirst-Aid-Made-Training-Presentation.pptx
First-Aid-Made-Training-Presentation.pptx
sharonAishamalroy
 
Slides Powerpoint BCM 125.pptx
Slides Powerpoint BCM 125.pptxSlides Powerpoint BCM 125.pptx
Slides Powerpoint BCM 125.pptx
EnockKizito1
 
Orthopedic physiotherapy evaluation form wm
Orthopedic physiotherapy evaluation form wmOrthopedic physiotherapy evaluation form wm
Orthopedic physiotherapy evaluation form wm
Aarti Sundaran
 
Assessment of competencies by John Senior Part 2
Assessment of competencies by John Senior Part 2Assessment of competencies by John Senior Part 2
Assessment of competencies by John Senior Part 2
ALLEICARG DC
 
Examination of thyroid
Examination of thyroidExamination of thyroid
Examination of thyroid
Agasya raj
 

Similar to check list for thyroid gland examination.docx (20)

ultimate to upload updated on 14september 2022 Thyroid examination.pptx
ultimate to upload updated on 14september 2022 Thyroid examination.pptxultimate to upload updated on 14september 2022 Thyroid examination.pptx
ultimate to upload updated on 14september 2022 Thyroid examination.pptx
 
Thyroid History and Physical Examination
Thyroid History and Physical Examination Thyroid History and Physical Examination
Thyroid History and Physical Examination
 
GeneralExamination (1).pptx
GeneralExamination (1).pptxGeneralExamination (1).pptx
GeneralExamination (1).pptx
 
GeneralExamination.pptx
GeneralExamination.pptxGeneralExamination.pptx
GeneralExamination.pptx
 
G.s clinical rounds.docx2017(1)
G.s clinical rounds.docx2017(1)G.s clinical rounds.docx2017(1)
G.s clinical rounds.docx2017(1)
 
Thyroid gland
Thyroid glandThyroid gland
Thyroid gland
 
Health Assessment 1.docx
Health Assessment 1.docxHealth Assessment 1.docx
Health Assessment 1.docx
 
history taking Clinical assessment of endocrine system 2022.pdf
history taking  Clinical assessment of endocrine system 2022.pdfhistory taking  Clinical assessment of endocrine system 2022.pdf
history taking Clinical assessment of endocrine system 2022.pdf
 
Pathology of Endocrine Disorders
Pathology of Endocrine DisordersPathology of Endocrine Disorders
Pathology of Endocrine Disorders
 
Exam of thyrod gland
Exam of thyrod glandExam of thyrod gland
Exam of thyrod gland
 
Thyroid gland123
Thyroid gland123Thyroid gland123
Thyroid gland123
 
First-Aid-Made-Easy-Training-Presentation.pptx
First-Aid-Made-Easy-Training-Presentation.pptxFirst-Aid-Made-Easy-Training-Presentation.pptx
First-Aid-Made-Easy-Training-Presentation.pptx
 
First-Aid-Made-Easy-Training-Presentation (1).pptx
First-Aid-Made-Easy-Training-Presentation (1).pptxFirst-Aid-Made-Easy-Training-Presentation (1).pptx
First-Aid-Made-Easy-Training-Presentation (1).pptx
 
Approach+to+a+patient+with+lymphadenopathy
Approach+to+a+patient+with+lymphadenopathyApproach+to+a+patient+with+lymphadenopathy
Approach+to+a+patient+with+lymphadenopathy
 
Chapter 7. Emergency Care and Disaster Preparation
Chapter 7. Emergency Care and Disaster PreparationChapter 7. Emergency Care and Disaster Preparation
Chapter 7. Emergency Care and Disaster Preparation
 
First-Aid-Made-Training-Presentation.pptx
First-Aid-Made-Training-Presentation.pptxFirst-Aid-Made-Training-Presentation.pptx
First-Aid-Made-Training-Presentation.pptx
 
Slides Powerpoint BCM 125.pptx
Slides Powerpoint BCM 125.pptxSlides Powerpoint BCM 125.pptx
Slides Powerpoint BCM 125.pptx
 
Orthopedic physiotherapy evaluation form wm
Orthopedic physiotherapy evaluation form wmOrthopedic physiotherapy evaluation form wm
Orthopedic physiotherapy evaluation form wm
 
Assessment of competencies by John Senior Part 2
Assessment of competencies by John Senior Part 2Assessment of competencies by John Senior Part 2
Assessment of competencies by John Senior Part 2
 
Examination of thyroid
Examination of thyroidExamination of thyroid
Examination of thyroid
 

More from Dr Shamshad Begum loni

new taboacco smoking for red cresecent for slide share .ppsx
new taboacco smoking  for red cresecent for slide share .ppsxnew taboacco smoking  for red cresecent for slide share .ppsx
new taboacco smoking for red cresecent for slide share .ppsx
Dr Shamshad Begum loni
 
Examination of all Cranial Nerves Examination jan 2023 updated pdf .pdf
Examination of all Cranial Nerves Examination   jan 2023 updated pdf .pdfExamination of all Cranial Nerves Examination   jan 2023 updated pdf .pdf
Examination of all Cranial Nerves Examination jan 2023 updated pdf .pdf
Dr Shamshad Begum loni
 
L 32 Pathophysiology of End-Stage Renal Disease 2023.pptx
L 32 Pathophysiology of End-Stage Renal Disease  2023.pptxL 32 Pathophysiology of End-Stage Renal Disease  2023.pptx
L 32 Pathophysiology of End-Stage Renal Disease 2023.pptx
Dr Shamshad Begum loni
 
Check list for students vital signs created on 27 august 2022.pdf
Check list for students vital signs created on 27 august 2022.pdfCheck list for students vital signs created on 27 august 2022.pdf
Check list for students vital signs created on 27 august 2022.pdf
Dr Shamshad Begum loni
 
CSK vital sign 2022.pdf
CSK vital sign 2022.pdfCSK vital sign 2022.pdf
CSK vital sign 2022.pdf
Dr Shamshad Begum loni
 
L 54 Endocrine system 2022.pdf
L 54 Endocrine system   2022.pdfL 54 Endocrine system   2022.pdf
L 54 Endocrine system 2022.pdf
Dr Shamshad Begum loni
 
breast examination for students slide share.pdf
breast examination for students slide share.pdfbreast examination for students slide share.pdf
breast examination for students slide share.pdf
Dr Shamshad Begum loni
 
latest prostrate examination 2022 with check list.pptx
latest prostrate examination 2022 with check list.pptxlatest prostrate examination 2022 with check list.pptx
latest prostrate examination 2022 with check list.pptx
Dr Shamshad Begum loni
 
Endocrine functions of the Testsis 2022.pdf
Endocrine functions of the Testsis 2022.pdfEndocrine functions of the Testsis 2022.pdf
Endocrine functions of the Testsis 2022.pdf
Dr Shamshad Begum loni
 
Lecture 7: Fluid loss and management
Lecture 7: Fluid loss and management Lecture 7: Fluid loss and management
Lecture 7: Fluid loss and management
Dr Shamshad Begum loni
 
Blood group and typing 2021
Blood group and typing 2021Blood group and typing 2021
Blood group and typing 2021
Dr Shamshad Begum loni
 
Visual transduction ppt 2021
Visual transduction ppt 2021 Visual transduction ppt 2021
Visual transduction ppt 2021
Dr Shamshad Begum loni
 
Updated 2021 lecture 45
Updated 2021 lecture 45  Updated 2021 lecture 45
Updated 2021 lecture 45
Dr Shamshad Begum loni
 
Updated lecture 58
Updated lecture 58 Updated lecture 58
Updated lecture 58
Dr Shamshad Begum loni
 
Lect 13
Lect 13 Lect 13
Practical 8 reflexes
Practical 8 reflexesPractical 8 reflexes
Practical 8 reflexes
Dr Shamshad Begum loni
 
lecture 45 Endocrine functions of the testis 2021
lecture 45  Endocrine functions of the testis 2021lecture 45  Endocrine functions of the testis 2021
lecture 45 Endocrine functions of the testis 2021
Dr Shamshad Begum loni
 
Ultimate physio practical git
Ultimate physio practical gitUltimate physio practical git
Ultimate physio practical git
Dr Shamshad Begum loni
 
Updated lecture 11 growth hormone 2021
Updated lecture 11 growth hormone 2021Updated lecture 11 growth hormone 2021
Updated lecture 11 growth hormone 2021
Dr Shamshad Begum loni
 
lect 2 introduction to hormones 2021
 lect 2 introduction to hormones 2021 lect 2 introduction to hormones 2021
lect 2 introduction to hormones 2021
Dr Shamshad Begum loni
 

More from Dr Shamshad Begum loni (20)

new taboacco smoking for red cresecent for slide share .ppsx
new taboacco smoking  for red cresecent for slide share .ppsxnew taboacco smoking  for red cresecent for slide share .ppsx
new taboacco smoking for red cresecent for slide share .ppsx
 
Examination of all Cranial Nerves Examination jan 2023 updated pdf .pdf
Examination of all Cranial Nerves Examination   jan 2023 updated pdf .pdfExamination of all Cranial Nerves Examination   jan 2023 updated pdf .pdf
Examination of all Cranial Nerves Examination jan 2023 updated pdf .pdf
 
L 32 Pathophysiology of End-Stage Renal Disease 2023.pptx
L 32 Pathophysiology of End-Stage Renal Disease  2023.pptxL 32 Pathophysiology of End-Stage Renal Disease  2023.pptx
L 32 Pathophysiology of End-Stage Renal Disease 2023.pptx
 
Check list for students vital signs created on 27 august 2022.pdf
Check list for students vital signs created on 27 august 2022.pdfCheck list for students vital signs created on 27 august 2022.pdf
Check list for students vital signs created on 27 august 2022.pdf
 
CSK vital sign 2022.pdf
CSK vital sign 2022.pdfCSK vital sign 2022.pdf
CSK vital sign 2022.pdf
 
L 54 Endocrine system 2022.pdf
L 54 Endocrine system   2022.pdfL 54 Endocrine system   2022.pdf
L 54 Endocrine system 2022.pdf
 
breast examination for students slide share.pdf
breast examination for students slide share.pdfbreast examination for students slide share.pdf
breast examination for students slide share.pdf
 
latest prostrate examination 2022 with check list.pptx
latest prostrate examination 2022 with check list.pptxlatest prostrate examination 2022 with check list.pptx
latest prostrate examination 2022 with check list.pptx
 
Endocrine functions of the Testsis 2022.pdf
Endocrine functions of the Testsis 2022.pdfEndocrine functions of the Testsis 2022.pdf
Endocrine functions of the Testsis 2022.pdf
 
Lecture 7: Fluid loss and management
Lecture 7: Fluid loss and management Lecture 7: Fluid loss and management
Lecture 7: Fluid loss and management
 
Blood group and typing 2021
Blood group and typing 2021Blood group and typing 2021
Blood group and typing 2021
 
Visual transduction ppt 2021
Visual transduction ppt 2021 Visual transduction ppt 2021
Visual transduction ppt 2021
 
Updated 2021 lecture 45
Updated 2021 lecture 45  Updated 2021 lecture 45
Updated 2021 lecture 45
 
Updated lecture 58
Updated lecture 58 Updated lecture 58
Updated lecture 58
 
Lect 13
Lect 13 Lect 13
Lect 13
 
Practical 8 reflexes
Practical 8 reflexesPractical 8 reflexes
Practical 8 reflexes
 
lecture 45 Endocrine functions of the testis 2021
lecture 45  Endocrine functions of the testis 2021lecture 45  Endocrine functions of the testis 2021
lecture 45 Endocrine functions of the testis 2021
 
Ultimate physio practical git
Ultimate physio practical gitUltimate physio practical git
Ultimate physio practical git
 
Updated lecture 11 growth hormone 2021
Updated lecture 11 growth hormone 2021Updated lecture 11 growth hormone 2021
Updated lecture 11 growth hormone 2021
 
lect 2 introduction to hormones 2021
 lect 2 introduction to hormones 2021 lect 2 introduction to hormones 2021
lect 2 introduction to hormones 2021
 

Recently uploaded

2nd week of Human development .embryology
2nd week of Human development .embryology2nd week of Human development .embryology
2nd week of Human development .embryology
Mithilesh Chaurasia
 
AGARICUS MUSCARIUS.pptx Keynotes by H.C. Allen
AGARICUS MUSCARIUS.pptx  Keynotes by H.C. AllenAGARICUS MUSCARIUS.pptx  Keynotes by H.C. Allen
AGARICUS MUSCARIUS.pptx Keynotes by H.C. Allen
DR.P.S SUDHAKAR
 
Abortion pills for sale in Qatar(+919707208804)Buy Cytotec tablet in Doha
Abortion pills for sale in Qatar(+919707208804)Buy Cytotec tablet in DohaAbortion pills for sale in Qatar(+919707208804)Buy Cytotec tablet in Doha
Abortion pills for sale in Qatar(+919707208804)Buy Cytotec tablet in Doha
maishakhanam230
 
lessonplan JTR.pptx For medical education
lessonplan JTR.pptx For medical educationlessonplan JTR.pptx For medical education
lessonplan JTR.pptx For medical education
DrJALAGAMTHIRUPATHIR
 
FSSAI act, Food safety act, Food safety and standards act 2006, Rules and reg...
FSSAI act, Food safety act, Food safety and standards act 2006, Rules and reg...FSSAI act, Food safety act, Food safety and standards act 2006, Rules and reg...
FSSAI act, Food safety act, Food safety and standards act 2006, Rules and reg...
PratibhaSonawane5
 
Comfort, Rest, Sleep and Pain.pptx
Comfort, Rest, Sleep  and Pain.pptxComfort, Rest, Sleep  and Pain.pptx
Comfort, Rest, Sleep and Pain.pptx
Nandish Sannaiah
 
General Principles of Law, History and various Acts related to Drugs and Phar...
General Principles of Law, History and various Acts related to Drugs and Phar...General Principles of Law, History and various Acts related to Drugs and Phar...
General Principles of Law, History and various Acts related to Drugs and Phar...
PratibhaSonawane5
 
Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptxExploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
FFragrant
 
Medical oncologic management of Colorectal cancer-1-1.pptx
Medical oncologic management of Colorectal cancer-1-1.pptxMedical oncologic management of Colorectal cancer-1-1.pptx
Medical oncologic management of Colorectal cancer-1-1.pptx
robel26
 
Nursing management of patient with peritoneal dialysis
Nursing management of patient with peritoneal dialysisNursing management of patient with peritoneal dialysis
Nursing management of patient with peritoneal dialysis
shivalingatalekar1
 
TEST BANK For Katzung's Basic and Clinical Pharmacology, 16th Edition By {Tod...
TEST BANK For Katzung's Basic and Clinical Pharmacology, 16th Edition By {Tod...TEST BANK For Katzung's Basic and Clinical Pharmacology, 16th Edition By {Tod...
TEST BANK For Katzung's Basic and Clinical Pharmacology, 16th Edition By {Tod...
rightmanforbloodline
 
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
Anindya Das Adhikary
 
How to Relieve Prostate Congestion- Here are some Effective Strategies.pptx
How to Relieve Prostate Congestion- Here are some Effective Strategies.pptxHow to Relieve Prostate Congestion- Here are some Effective Strategies.pptx
How to Relieve Prostate Congestion- Here are some Effective Strategies.pptx
AmandaChou9
 
Veterinary Medicines Manufacturers in India
Veterinary Medicines Manufacturers in IndiaVeterinary Medicines Manufacturers in India
Veterinary Medicines Manufacturers in India
Heilsaa Care
 
Handbook of Dental anatomy (practical part)
Handbook of Dental anatomy (practical part)Handbook of Dental anatomy (practical part)
Handbook of Dental anatomy (practical part)
MuhammedMNasser
 
NUTRICONNECT NEWSLETTER 3RD ISSUE 2ND VOLUME.pdf
NUTRICONNECT NEWSLETTER 3RD ISSUE 2ND VOLUME.pdfNUTRICONNECT NEWSLETTER 3RD ISSUE 2ND VOLUME.pdf
NUTRICONNECT NEWSLETTER 3RD ISSUE 2ND VOLUME.pdf
MatsikoAlex
 
Prodrug design for Sustained Drug action -.KB.pptx
Prodrug design for Sustained Drug action -.KB.pptxProdrug design for Sustained Drug action -.KB.pptx
Prodrug design for Sustained Drug action -.KB.pptx
ANAGHA K B
 
Journal club presentation JC 28.5.24 edit.pptx
Journal club presentation JC 28.5.24 edit.pptxJournal club presentation JC 28.5.24 edit.pptx
Journal club presentation JC 28.5.24 edit.pptx
AdhyaDubey1
 
Westgard's rules and LJ (Levey Jennings) Charts.
Westgard's rules and LJ (Levey Jennings) Charts.Westgard's rules and LJ (Levey Jennings) Charts.
Westgard's rules and LJ (Levey Jennings) Charts.
Reenaz Shaik
 
Introduction to Radiotherapy technology I.pptx
Introduction to Radiotherapy technology I.pptxIntroduction to Radiotherapy technology I.pptx
Introduction to Radiotherapy technology I.pptx
JalalEltabib1
 

Recently uploaded (20)

2nd week of Human development .embryology
2nd week of Human development .embryology2nd week of Human development .embryology
2nd week of Human development .embryology
 
AGARICUS MUSCARIUS.pptx Keynotes by H.C. Allen
AGARICUS MUSCARIUS.pptx  Keynotes by H.C. AllenAGARICUS MUSCARIUS.pptx  Keynotes by H.C. Allen
AGARICUS MUSCARIUS.pptx Keynotes by H.C. Allen
 
Abortion pills for sale in Qatar(+919707208804)Buy Cytotec tablet in Doha
Abortion pills for sale in Qatar(+919707208804)Buy Cytotec tablet in DohaAbortion pills for sale in Qatar(+919707208804)Buy Cytotec tablet in Doha
Abortion pills for sale in Qatar(+919707208804)Buy Cytotec tablet in Doha
 
lessonplan JTR.pptx For medical education
lessonplan JTR.pptx For medical educationlessonplan JTR.pptx For medical education
lessonplan JTR.pptx For medical education
 
FSSAI act, Food safety act, Food safety and standards act 2006, Rules and reg...
FSSAI act, Food safety act, Food safety and standards act 2006, Rules and reg...FSSAI act, Food safety act, Food safety and standards act 2006, Rules and reg...
FSSAI act, Food safety act, Food safety and standards act 2006, Rules and reg...
 
Comfort, Rest, Sleep and Pain.pptx
Comfort, Rest, Sleep  and Pain.pptxComfort, Rest, Sleep  and Pain.pptx
Comfort, Rest, Sleep and Pain.pptx
 
General Principles of Law, History and various Acts related to Drugs and Phar...
General Principles of Law, History and various Acts related to Drugs and Phar...General Principles of Law, History and various Acts related to Drugs and Phar...
General Principles of Law, History and various Acts related to Drugs and Phar...
 
Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptxExploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
Exploring Alternatives- Why Laparoscopy Isn't Always Best for Hydrosalpinx.pptx
 
Medical oncologic management of Colorectal cancer-1-1.pptx
Medical oncologic management of Colorectal cancer-1-1.pptxMedical oncologic management of Colorectal cancer-1-1.pptx
Medical oncologic management of Colorectal cancer-1-1.pptx
 
Nursing management of patient with peritoneal dialysis
Nursing management of patient with peritoneal dialysisNursing management of patient with peritoneal dialysis
Nursing management of patient with peritoneal dialysis
 
TEST BANK For Katzung's Basic and Clinical Pharmacology, 16th Edition By {Tod...
TEST BANK For Katzung's Basic and Clinical Pharmacology, 16th Edition By {Tod...TEST BANK For Katzung's Basic and Clinical Pharmacology, 16th Edition By {Tod...
TEST BANK For Katzung's Basic and Clinical Pharmacology, 16th Edition By {Tod...
 
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
Amygdala Medi-Trivia Quiz (Prelims) | FAQ 2024
 
How to Relieve Prostate Congestion- Here are some Effective Strategies.pptx
How to Relieve Prostate Congestion- Here are some Effective Strategies.pptxHow to Relieve Prostate Congestion- Here are some Effective Strategies.pptx
How to Relieve Prostate Congestion- Here are some Effective Strategies.pptx
 
Veterinary Medicines Manufacturers in India
Veterinary Medicines Manufacturers in IndiaVeterinary Medicines Manufacturers in India
Veterinary Medicines Manufacturers in India
 
Handbook of Dental anatomy (practical part)
Handbook of Dental anatomy (practical part)Handbook of Dental anatomy (practical part)
Handbook of Dental anatomy (practical part)
 
NUTRICONNECT NEWSLETTER 3RD ISSUE 2ND VOLUME.pdf
NUTRICONNECT NEWSLETTER 3RD ISSUE 2ND VOLUME.pdfNUTRICONNECT NEWSLETTER 3RD ISSUE 2ND VOLUME.pdf
NUTRICONNECT NEWSLETTER 3RD ISSUE 2ND VOLUME.pdf
 
Prodrug design for Sustained Drug action -.KB.pptx
Prodrug design for Sustained Drug action -.KB.pptxProdrug design for Sustained Drug action -.KB.pptx
Prodrug design for Sustained Drug action -.KB.pptx
 
Journal club presentation JC 28.5.24 edit.pptx
Journal club presentation JC 28.5.24 edit.pptxJournal club presentation JC 28.5.24 edit.pptx
Journal club presentation JC 28.5.24 edit.pptx
 
Westgard's rules and LJ (Levey Jennings) Charts.
Westgard's rules and LJ (Levey Jennings) Charts.Westgard's rules and LJ (Levey Jennings) Charts.
Westgard's rules and LJ (Levey Jennings) Charts.
 
Introduction to Radiotherapy technology I.pptx
Introduction to Radiotherapy technology I.pptxIntroduction to Radiotherapy technology I.pptx
Introduction to Radiotherapy technology I.pptx
 

check list for thyroid gland examination.docx

  • 1. 1. Initial Etiquettes I. Greet and Introduce yourself II. Assure confidentiality ; respect patient privacy and Comfort III. Explain procedure to patient and ask for consent IV. Be polite: say “please” & “thank you” V. Clean and warm your hands. VI. Position examiner: Inspection: Right side of patient. 2. Equipment required 1. Simulated patient OR Thyroid manikin 2. Hand sanitizer 3. watch 4. Disposable gloves 5. Weighing machine 6. Water bottle 7. Plain paper 8. Measuring tape. Position of patient : Sitting Approach: Inspection 1: Anterior 2: Lateral Palpation 1: Posterior 2: Anterior: I: Lahey’s method II: Crile's method 3: General Examination Look for. VDAAASH  Voice sound normal: husky, monotonous  Demeanour ,mental state  Abnormally hyper- or hypoactive  Appearance e. g centralobesity  Appear sweaty?  Skin: Vitiligo, non-pitting edema  Hair: Thin, frontal baldness, Hirsuitism. ..Hand :SPPTNP  Large sweaty fleshy hands  Palmar erythema (hyperthyroidism)  Pigmentation of hand crease  Tremor : fine or coarse  Nails: Acropachy (similar to clubbing), or Onycholysis (nail comes away from the nail bed).  Pulse: Tachy, bradycardia... Thyroid Examination check list for student’s reference
  • 2. Face, Neck & Chest Face :  Features of Cushing syndrome & acromegaly Neck:  Neck swelling (goitre)  Cervical lymph nodes  Obvious abnormalities, scars or swellings.. Breasts:  Gynaecomastia  Galactorrhoea.. Eyes  Redness  Strabismus  Exophthalmos  Ophthalmoplegia  Visual field defect  Lid lag  Preorbital edema  Lid retraction  Proptosis ..Arms & legs Muscles power :  Proximal myopathy Pretibial myxoedema Tendon reflexes :  Hypo or hyperreflexia Genitalia  Virilization  Testicular volume  Pubertal development 4: Examination of the Thyroid Gland Inspection 1: Anterior approach  Skin changes: Erythema, ulceration,…  Scars: Previous surgeries, post infection…  Pulsation: Carotid pulsation  Mass: Ask the patient to swallow sip of water thyroid mass moves upwards I: Midline neck swelling  No movement :Thyroid gland mass or lymph node  Upward movement: Thyroglossal cyst 2: Lateral approach:
  • 3. Palpation of thyroid gland 1: Posterior approach 2: Anterior approach Ask if the patient feels tenderness /pain 1: Lahey’s method 2: Crile's method Comment on the thyroid gland 1. Size 2. Position 3. Attachment 4. Consistency 5. Edge 6. Surface and shape 7. Pulsations: 8. Inflammation 9. Transillumination Percussion Over manubrium sterni : retrosternal extension Auscultation Systolic bruit: Primary toxic goitre Neck circumference : To monitor the growth rate of swelling 5: Cover the part and Thank the simulator