Goiter physical examination

Goiter Microchapters
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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

• Jugular vein compression or thrombosis (Rare)
• Superior vena cava syndrome (Rare)

Lungs

• Normal vesicular breath sounds
• Wheeze may be present as a result of compression of the gland over the trachea.
• Tracheal deviation or compression may be seen in some cases.

Heart

• Normal S1 and S2.

Abdomen

• Normal abdominal findings.

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

• Normal findings observed