Follicular thyroid cancer physical examination: Difference between revisions

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==Overview==
==Overview==
Patients with follicular thyroid cancer usually appear thin and cachetic. Physical examination of patients with follicular thyroid cancer is usually remarkable for [[thyromegaly]], [[lymphadenopathy]] and [[anxiety]].
[[Patient|Patients]] with follicular thyroid cancer usually appear thin and cachectic. [[Physical examination]] of [[Patient|patients]] with follicular thyroid cancer is usually remarkable for [[thyromegaly]], [[lymphadenopathy]], and [[anxiety]].
==Physical Examination==
==Physical Examination==
===Appearance of the Patient===
===Appearance of the Patient===
* Patient may be thin and cachetic
*[[Patient]] may be thin and [[Cachexia|cachectic]]


===Vitals===
===Vitals===
====Temperature====
 
*A [[fever]] is often present
*[[Fever]]
====Pulse====
 
=====Rate=====
*[[Tachycardia]]
*[[Tachycardia]]
=====Rhythm=====
 
*The [[pulse]] is irregularly irregular
*Irregularly-irregular [[pulse]]
====Blood Pressure====
 
*[[Hypertension]]  
*[[Hypertension]]  
====Respiratory Rate====
 
*[[Tachypnea]] may be present
*[[Tachypnea]]  
 
===Skin===
===Skin===
Moist, warm skin
 
===Head===
* Moist, warm skin
<gallery>
 
Image:Neck swelling.jpg|On physical examination, she had goiter with large nodule in the right lobe of her thyroid gland.. <SMALL><SMALL>''<ref name="ShahnazariAghamaleki2012">{{cite journal|last1=Shahnazari|first1=Banafshe|last2=Aghamaleki|first2=Aria|last3=Larijani|first3=Bagher|last4=Mohajeri Tehrani|first4=Mohammad Reza|last5=Rafati|first5=Hasan|last6=Babamahmoodi|first6=Abdolreza|title=A Case of Multiple Endocrine Neoplasia Type 2B and Gangliomatosis of Gastrointestinal Tract|journal=Case Reports in Medicine|volume=2012|year=2012|pages=1–4|issn=1687-9627|doi=10.1155/2012/491054}}</ref>
===HEENT===
</gallery>
 
===Eyes===
* Numerous yellowish-white, [[sessile]], [[Pain|painless]] [[Nodule (medicine)|nodules]] on the [[sclera]] and [[Eyelid|eyelids]]
* Numerous yellowish-white, sessile, painless nodules on the [[sclera]] and eyelids.
* Dry [[eye]]s may be present
* Dry [[eye]]s may be present
===Neck===
===Neck===
* [[Lymph nodes]]  
* [[Lymphadenopathy]]
* [[Thyromegaly]]  
* [[Thyromegaly]]  
* [[Dysphagia]]  
* [[Dysphagia]]
 
===Lungs===
 
* [[Lung|Pulmonary]] [[Physical examination|examination]] of [[Patient|patients]] with follicular thyroid cancer is usually normal.
 
===Heart===
===Heart===
*A [[thrill]] may be present
*A [[thrill]] may be present
===Neurologic===
===Abdomen===
* Mental status may be altered
 
* [[Anxiety]]  
* [[Abdominal examination]] of [[Patient|patients]] with follicular thyroid cancer is usually normal.
 
===Back===
 
* [[Human back|Back]] [[Physical examination|examination]] of [[Patient|patients]] with follicular thyroid cancer is usually normal.
 
===Genitourinary===
 
* [[Genitourinary system|Genitourinary]] [[Physical examination|examination]] of [[Patient|patients]] with follicular thyroid cancer is usually normal.
 
===Neuromuscular===
 
*[[Mental status]] may be altered
*[[Anxiety]]
 
===Extremities===
 
* [[Limb (anatomy)|Extremities]] [[Physical examination|examination]] of [[Patient|patients]] with follicular thyroid cancer is usually normal.
 
===Video===
===Video===
{{#ev:youtube|lmEus_ZDipg}}
{{#ev:youtube|lmEus_ZDipg}}
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Latest revision as of 00:16, 28 July 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]

Overview

Patients with follicular thyroid cancer usually appear thin and cachectic. Physical examination of patients with follicular thyroid cancer is usually remarkable for thyromegaly, lymphadenopathy, and anxiety.

Physical Examination

Appearance of the Patient

Vitals

  • Irregularly-irregular pulse

Skin

  • Moist, warm skin

HEENT

Neck

Lungs

Heart

Abdomen

Back

Genitourinary

Neuromuscular

Extremities

Video

{{#ev:youtube|lmEus_ZDipg}}

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