Riedel's thyroiditis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical examination of patients with Riedel's thyroiditis is usually remarkable for hard thyroid mass and clinical signs of hypothyroidism such as fatigue, bradycardia, bradypnea. Patients may have the clinical signs of hypocalcemia such as positive Chvostek sign and positive Trousseau sign. | |||
==Physical Examination== | ==Physical Examination== | ||
*Physical examination of patients with | *Physical examination of patients with Riedel's thyroiditis is usually remarkable for hard thyroid mass and clinical signs of hypothyroidism such as fatigue, bradycardia, bradypnea. Patients may have the clinical signs of hypocalcemia such as positive Chvostek sign and positive Trousseau sign.<ref name="urlThyroiditis — NEJM">{{cite web |url=http://www.nejm.org/doi/full/10.1056/NEJMra021194 |title=Thyroiditis — NEJM |format= |work= |accessdate=}}</ref><ref name="pmid15298150">{{cite journal |vauthors=Papi G, LiVolsi VA |title=Current concepts on Riedel thyroiditis |journal=Am. J. Clin. Pathol. |volume=121 Suppl |issue= |pages=S50–63 |year=2004 |pmid=15298150 |doi= |url=}}</ref><ref name="pmid21832114">{{cite journal |vauthors=Hennessey JV |title=Clinical review: Riedel's thyroiditis: a clinical review |journal=J. Clin. Endocrinol. Metab. |volume=96 |issue=10 |pages=3031–41 |year=2011 |pmid=21832114 |doi=10.1210/jc.2011-0617 |url=}}</ref> | ||
====Appearance of the Patient==== | ====Appearance of the Patient==== | ||
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===HEENT=== | ===HEENT=== | ||
The patient may have: | The patient may have: | ||
*Positive Chvostek | *Positive Chvostek sign | ||
===Neck=== | ===Neck=== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]
Overview
Physical examination of patients with Riedel's thyroiditis is usually remarkable for hard thyroid mass and clinical signs of hypothyroidism such as fatigue, bradycardia, bradypnea. Patients may have the clinical signs of hypocalcemia such as positive Chvostek sign and positive Trousseau sign.
Physical Examination
- Physical examination of patients with Riedel's thyroiditis is usually remarkable for hard thyroid mass and clinical signs of hypothyroidism such as fatigue, bradycardia, bradypnea. Patients may have the clinical signs of hypocalcemia such as positive Chvostek sign and positive Trousseau sign.[1][2][3]
Appearance of the Patient
- Patients with Riedel's thyroiditis may appear fatigued.
Vital Signs
Patient may have:
- Low-grade fever
- Bradycardia
Skin
- Dry skin
- Coarse hair
HEENT
The patient may have:
- Positive Chvostek sign
Neck
- Hard/fixed thyroid mass
- Enlarged thyroid gland or presence of goiter
- Small or shrunken thyroid gland
Respiratory
Genitourinary
- A pelvic/adnexal mass may be palpated
- Inflamed mucosa
- Clear/(color), foul-smelling/odorless penile/vaginal discharge
Neuromuscular
- Slowed speech
- Slowed reflexes
Extremeties
- Positive Trousseau sign
References
- ↑ "Thyroiditis — NEJM".
- ↑ Papi G, LiVolsi VA (2004). "Current concepts on Riedel thyroiditis". Am. J. Clin. Pathol. 121 Suppl: S50–63. PMID 15298150.
- ↑ Hennessey JV (2011). "Clinical review: Riedel's thyroiditis: a clinical review". J. Clin. Endocrinol. Metab. 96 (10): 3031–41. doi:10.1210/jc.2011-0617. PMID 21832114.