Goiter history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
A history of low iodine intake, history of use of therapeutic drugs that hinder normal thyroid hormonal activity, radiation exposure and positive family history of thyroid diseases. Symptoms of Goiter include, swelling at the base of the neck, difficulty swallowing, hoarseness of voice and difficulty in breathing.
History and Symptoms
History
Patients with Goiter may have a history of:
- Low iodine intake (geographical/regional factors and food habits)
- History of the use of therapeutic drugs that hinder normal thyroid hormonal activity
- Radiation exposure (therapeutic or accidental exposure)
- Positive family history of thyroid diseases (Benign or malignant variants)
Symptoms
Symptoms evaluated based on:
- Patient's age
- Patient's sex
- Major presenting complaints:
- Anterior neck swelling:
- Duration
- Mode of onset
- Rate of growth
- Associated pain
- Anterior neck swelling:
- Pressure-related symptoms:
- Dysphagia, dyspnea, hoarseness of voice, venous engorgement of the neck etc
- Review of systems to assess toxicity:
- CNS: tremors, irritability, mental disturbance
- CVS: palpitation, dyspnea, orthopnoea
- GI: change of appetite, constipation, diarrhoea
- Musculo skeletal system: bone pain, weight change, heat or cold preference, excessive sweating
- Past medical history:
- Previous medication, previous history of irradiation
- Family and social history:
- History of goitre in the family or in the community
Common Symptoms
Common symptoms of Goiter include:
- Swelling at the base of the neck
- Dysphagia (Difficulty swallowing)
- Hoarseness (Hoarse voice)
- Feeling of fullness/tightness may or may not be accompanied by choking sensation
- Dyspnea (Difficulty breathing)
- Cough
Less Common Symptoms
Less common symptoms of [disease name] include
- Pain in the area of enlargement/swelling
- Wheeze
- Phrenic nerve paralysis
- Jugular vein compression or thrombosis (Rare) [1]
- Cerebrovascular steal syndromes (Rare) [1]
- Superior vena cava syndrome (Rare) [1]