Goiter physical examination

Goiter Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Goiter from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
Chest X Ray
CT
MRI
Echocardiography or Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Goiter physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Goiter physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Goiter physical examination
CDC on Goiter physical examination
Goiter physical examination in the news
Blogs on Goiter physical examination
Directions to Hospitals Treating Cushing’s disease
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

• 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

• Clubbing
• Cyanosis
• Pitting/non-pitting edema of the upper/lower extremities
• Muscle atrophy
• Fasciculations in the upper/lower extremity