Thyroid nodule history and symptoms: Difference between revisions
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==History and Symptoms== | ==History and Symptoms== | ||
=== History === | === History === | ||
* The presence of symptoms | Obtaining a detailed history is one of the important aspects of determining the best approach toward nodule management. It provides insight into possible cause, precipitating factors and associated comorbid conditions. Complete history may also helps in determining the prognosis. Specific histories about associated symptoms and their duration, onset, and progression have to be obtained. Specific areas of focus when obtaining the history, are outlined below: | ||
* The presence of associated symptoms | |||
* A change in nodule size | * A change in nodule size | ||
* Previous head or neck radiation exposure | * Previous head or neck radiation exposure | ||
| Line 16: | Line 12: | ||
** Endocrine diseases (e.g. multiple endocrine neoplasia type 2 [MEN2], familial adenomatous polyposis, or Cowden syndrome) | ** Endocrine diseases (e.g. multiple endocrine neoplasia type 2 [MEN2], familial adenomatous polyposis, or Cowden syndrome) | ||
* History of neck pain | * History of neck pain | ||
* | * Sudden increase in the size of a neck lump | ||
** Raise the concern of malignancies and hemorrhagic thyroid cysts | ** Raise the concern of malignancies and hemorrhagic thyroid cysts | ||
* Progressive voice change or hoarseness | * Progressive voice change or hoarseness | ||
| Line 27: | Line 23: | ||
** Choking sensation | ** Choking sensation | ||
** Inability to lie flat | ** Inability to lie flat | ||
* Hoarseness | |||
* Localized pain in the neck | |||
* Shortness of breath | |||
* Prolonged cough | |||
Revision as of 23:38, 5 October 2017
History and Symptoms
History
Obtaining a detailed history is one of the important aspects of determining the best approach toward nodule management. It provides insight into possible cause, precipitating factors and associated comorbid conditions. Complete history may also helps in determining the prognosis. Specific histories about associated symptoms and their duration, onset, and progression have to be obtained. Specific areas of focus when obtaining the history, are outlined below:
- The presence of associated symptoms
- A change in nodule size
- Previous head or neck radiation exposure
- Childhood irradiation associated with high risk of malignancy
- Family history
- Thyroid diseases
- Thyroid cancer syndromes
- Endocrine diseases (e.g. multiple endocrine neoplasia type 2 [MEN2], familial adenomatous polyposis, or Cowden syndrome)
- History of neck pain
- Sudden increase in the size of a neck lump
- Raise the concern of malignancies and hemorrhagic thyroid cysts
- Progressive voice change or hoarseness
- May be associated with an invasive tumor
Symptoms
- Dysphagia or anterior neck discomfort
- May indicate a malignant tumor
- Rarely seen in benign tumors
- Choking sensation
- Inability to lie flat
- Hoarseness
- Localized pain in the neck
- Shortness of breath
- Prolonged cough