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THYROID
EXAMINATION
BY:MARIYAM BERAK
THYROID
GLAND
• The thyroid is the part of
endocrine system, which is
made up of glands that
produce, store, and release
hormones into the blood
stream so the hormones can
reach the body’s, cells.
The Gland is small butterfly shaped located in the
base of neck just below the Adam’s apple.Although
relatively small but it plays a huge role in our body,
influencing the function of many of the body’s most
Important organs, including heart, brain, liver and
kidneys.
WIPE
• Wash hands
• Introduce yourself
• Permission
• Position ( patient sat in front of you upright)
• Exposure (Neck exposed)
IDENTIFY PATIENT
• Name
• Age
• Date
INSPECTION
• Start with general inspection
• Inspect the hands
1. Nails (clubbing)
2. Temperature
3. Sweaty palms
4. Palmer erythema
5. Resting tremor
• Vitals
1. BP
2. Pulse
3. Temp
• Eyes
1. Exophthalmus (Proptosis of Endocrine origin)
Neck
• Identify any masses/lumps/asymmetry/scars/surface changes.
• If any mass is identified ask the patient to protrude their tongue and
assess whether this causes it to move .
• Assess whether the mass moves upon swallowing ( thyroid swellings will
move upwards with swallowing). To do this, ask the patient to take a
drink of water, hold it in their mouth and then swallow on command.
Palpation
Palpate the thyroid from either along side or directly behind the patient. If you
choose the later of these, be sure to warn the patient before you do so to
avoid startling them. Identify the isthmus and then the lobes of the thyroid
gland, define their boundaries (irregular)
Ask the patient to swallow again whilst palpating the thyroid swellings.
• Location
• Size
• Consistency
• Mobility
• Margins
• Tenderness
• Transillumination
PERCUSSION
• Percuss for retrosternal goitre.
AUSCULTATION
• Auscultate over the thyroid for bruits
• Abnormal swellings of the neck may also cause
obstruction of breathing (stridor)
Thyroid activity
Normal activity Euthyroid
Excessive activity Hyperthyroid
Underactivity Hypothyroid
Note:After completing the examination of
thyroid also check the cervical lymph nodes.
CERVICAL LNs
1.Submental
2.Submandibular
3.Pre auricular
4.Post auricular
5.Ant. And post. Cervical chain
6.Supra clavicular
7.Occipital
Thyroid examination power point

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Thyroid examination power point

  • 2. THYROID GLAND • The thyroid is the part of endocrine system, which is made up of glands that produce, store, and release hormones into the blood stream so the hormones can reach the body’s, cells.
  • 3. The Gland is small butterfly shaped located in the base of neck just below the Adam’s apple.Although relatively small but it plays a huge role in our body, influencing the function of many of the body’s most Important organs, including heart, brain, liver and kidneys.
  • 4. WIPE • Wash hands • Introduce yourself • Permission • Position ( patient sat in front of you upright) • Exposure (Neck exposed) IDENTIFY PATIENT • Name • Age • Date INSPECTION • Start with general inspection • Inspect the hands 1. Nails (clubbing) 2. Temperature 3. Sweaty palms 4. Palmer erythema 5. Resting tremor • Vitals 1. BP 2. Pulse 3. Temp • Eyes 1. Exophthalmus (Proptosis of Endocrine origin)
  • 5. Neck • Identify any masses/lumps/asymmetry/scars/surface changes. • If any mass is identified ask the patient to protrude their tongue and assess whether this causes it to move . • Assess whether the mass moves upon swallowing ( thyroid swellings will move upwards with swallowing). To do this, ask the patient to take a drink of water, hold it in their mouth and then swallow on command.
  • 6. Palpation Palpate the thyroid from either along side or directly behind the patient. If you choose the later of these, be sure to warn the patient before you do so to avoid startling them. Identify the isthmus and then the lobes of the thyroid gland, define their boundaries (irregular) Ask the patient to swallow again whilst palpating the thyroid swellings. • Location • Size • Consistency • Mobility • Margins • Tenderness • Transillumination PERCUSSION • Percuss for retrosternal goitre.
  • 7.
  • 8. AUSCULTATION • Auscultate over the thyroid for bruits • Abnormal swellings of the neck may also cause obstruction of breathing (stridor) Thyroid activity Normal activity Euthyroid Excessive activity Hyperthyroid Underactivity Hypothyroid
  • 9. Note:After completing the examination of thyroid also check the cervical lymph nodes. CERVICAL LNs 1.Submental 2.Submandibular 3.Pre auricular 4.Post auricular 5.Ant. And post. Cervical chain 6.Supra clavicular 7.Occipital