Thyroid Examination

Introduction0/7

• Greetings
• Hand wash
• Verify the patient's identity
• Explanation of the examination
• Obtain consent
• Expose patient's neck and upper sternum
• Position patient sitting on a chair

General Inspection0/4

• Assess weight
• Observe behavior
• Note clothing (heat/cold intolerance)
• Listen for hoarse voice

Hand Examination0/5

• Check for thyroid acropachy
• Look for onycholysis
• Assess for palmar erythema
• Test for peripheral tremor
• Check radial pulse

Face Examination0/2

• Assess skin condition
• Check eyebrows for loss

Eye Examination0/4

• Check for lid retraction
• Look for exophthalmos
• Assess eye movements
• Test for lid lag

Thyroid Examination0/6

• Inspect neck for masses or scars
• Ask patient to swallow and observe movement
• Palpate thyroid glandAssess size, shape, consistency, and nodules
• Palpate trachea for deviation
• Percuss upper sternum for retrosternal extension
• Auscultate thyroid gland for bruit

• Palpate cervical lymph nodes

Additional Tests0/3

• Check reflexes (biceps and knee jerk)
• Look for pretibial myxoedema
• Test for proximal myopathy

Conclusion0/2

• Summarize findings
• Suggest further tests if neededConsider thyroid function tests, ultrasound