Goiter physical examination: Difference between revisions
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===Neck=== | ===Neck=== | ||
* | *Jugular vein compression or thrombosis (Rare) <ref name="pmid4913941">{{cite journal |vauthors=Siderys H, Rowe GA |title=Superior vena caval syndrome caused by intrathoracic goiter |journal=Am Surg |volume=36 |issue=7 |pages=446–50 |year=1970 |pmid=4913941 |doi= |url=}}</ref> | ||
*Superior vena cava syndrome (Rare) <ref name="pmid4913941">{{cite journal |vauthors=Siderys H, Rowe GA |title=Superior vena caval syndrome caused by intrathoracic goiter |journal=Am Surg |volume=36 |issue=7 |pages=446–50 |year=1970 |pmid=4913941 |doi= |url=}}</ref> | |||
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===Lungs=== | ===Lungs=== | ||
Revision as of 18:55, 11 September 2017
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Goiter Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Goiter physical examination On the Web |
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American Roentgen Ray Society Images of Goiter physical examination |
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Risk calculators and risk factors for Goiter physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Physical examination of patients with Goiter is usually remarkable for swelling at the base of the neck.
Physical Examination
- Physical examination of patients with Goiter is usually remarkable for swelling at the base of the neck
Appearance of the Patient
- Patients with Goiter usually appear with a cosmetic distortion of the neck along with a lump at the base of the neck and are asymptomatic in general.
Vital Signs
- Tachycardia
Skin
- Moist skin
HEENT
- Exophthalmosis
Neck
Lungs
- Asymmetric chest expansion / Decreased chest expansion
- Lungs are hypo/hyperresonant
- Fine/coarse crackles upon auscultation of the lung bases/apices unilaterally/bilaterally
- Rhonchi
- Vesicular breath sounds / Distant breath sounds
- Expiratory/inspiratory wheezing with normal / delayed expiratory phase
- Wheezing may be present
- Egophony present/absent
- Bronchophony present/absent
- Normal/reduced tactile fremitus
Heart
- Chest tenderness upon palpation
- PMI within 2 cm of the sternum (PMI) / Displaced point of maximal impulse (PMI) suggestive of ____
- Heave / thrill
- Friction rub
- S1
- S2
- S3
- S4
- Gallops
- A high/low grade early/late systolic murmur / diastolic murmur best heard at the base/apex/(specific valve region) may be heard using the bell/diaphgram of the otoscope
Abdomen
- Abdominal distention
- Abdominal tenderness in the right/left upper/lower abdominal quadrant
- Rebound tenderness (positive Blumberg sign)
- A palpable abdominal mass in the right/left upper/lower abdominal quadrant
- Guarding may be present
- Hepatomegaly / splenomegaly / hepatosplenomegaly
- Additional findings, such as obturator test, psoas test, McBurney point test, Murphy test
Back
- Point tenderness over __ vertebrae (e.g. L3-L4)
- Sacral edema
- Costovertebral angle tenderness bilaterally/unilaterally
- Buffalo hump
Genitourinary
- A pelvic/adnexal mass may be palpated
- Inflamed mucosa
- Clear/(color), foul-smelling/odorless penile/vaginal discharge
Neuromuscular
- Tremors
Extremities
- Clubbing
- Cyanosis
- Pitting/non-pitting edema of the upper/lower extremities
- Muscle atrophy
- Fasciculations in the upper/lower extremity