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 of patients with Riedel's thyroiditis is usually remarkable for hard [[Thyroid mass causes|thyroid mass]] and clinical signs of [[hypothyroidism]] such as [[fatigue]], [[bradycardia]], [[bradypnea]]. Patients may have the clinical signs of [[hypocalcemia]] such as positive [[Chvostek's sign|Chvostek sign]] and positive [[Trousseau sign]]. | ||
==Physical Examination== | ==Physical Examination== | ||
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===Vital Signs=== | ===Vital Signs=== | ||
The patient may have: | |||
*Low-grade fever | *Low-grade [[fever]] | ||
*[[Bradycardia]] | *[[Bradycardia]] | ||
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===HEENT=== | ===HEENT=== | ||
The patient may have: | The patient may have: | ||
*Positive Chvostek sign | *Positive [[Chvostek's sign|Chvostek sign]] | ||
===Neck=== | ===Neck=== | ||
*Hard/fixed thyroid mass | *Hard/fixed [[Thyroid mass causes|thyroid mass]] | ||
* Enlarged thyroid gland or presence of [[goiter]] | * Enlarged thyroid gland or presence of [[goiter]] | ||
* Small or shrunken thyroid gland | * Small or shrunken thyroid gland | ||
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===Genitourinary=== | ===Genitourinary=== | ||
*A pelvic/adnexal mass may be palpated | *A [[Pelvic masses|pelvic]]/[[Adnexal mass causes|adnexal mass]] may be palpated | ||
*Inflamed mucosa | *Inflamed mucosa | ||
*Clear/(color), foul-smelling/odorless penile/vaginal discharge | *Clear/(color), foul-smelling/odorless penile/vaginal discharge | ||
| Line 43: | Line 43: | ||
* [[Reflexes|Slowed reflexes]] | * [[Reflexes|Slowed reflexes]] | ||
=== | ===Extremities=== | ||
*Positive Trousseau sign | *Positive [[Trousseau sign]] | ||
==References== | ==References== | ||
Revision as of 18:11, 21 August 2017
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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
The 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
Extremities
- 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.