Thyroid nodule physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination should focus on the thyroid gland and the lateral and central neck and should assess for supraclavicular and submandibular adenopathy. | |||
==Physical Examination== | ==Physical Examination== | ||
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*** Size | *** Size | ||
*** Consistency (e.g., soft, firm, woody, or hard) | *** Consistency (e.g., soft, firm, woody, or hard) | ||
**** Nodules that are firm or immobile are more likely to harbor cancer than those that are soft or mobile | |||
**** Large, firm cervical nodes ipsilateral to the thyroid nodule should suggest the possibility of local metastases from thyroid cancer | |||
*** Involvement with adjacent structures | *** Involvement with adjacent structures | ||
* Cervical lymph nodes, including: | * Cervical lymph nodes, including: | ||
Revision as of 20:06, 7 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical examination should focus on the thyroid gland and the lateral and central neck and should assess for supraclavicular and submandibular adenopathy.
Physical Examination
HEENT
- Thyroid nodule
- Solitary or dominant in a multinodular goiter
- Characteristics of the nodule, including:
- Size
- Consistency (e.g., soft, firm, woody, or hard)
- Nodules that are firm or immobile are more likely to harbor cancer than those that are soft or mobile
- Large, firm cervical nodes ipsilateral to the thyroid nodule should suggest the possibility of local metastases from thyroid cancer
- Involvement with adjacent structures
- Cervical lymph nodes, including:
- submental and submandibular nodes
- upper jugular nodes
- midjugular nodes
- lower jugular nodes
- posterior triangle and supraclavicular nodes
- pretracheal, prelaryngeal, and paratracheal nodes