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The Rational Clinical Examination
David L. Simel, Drummond Rennie
Goiter
Kerry Siminoski

Sections:  Clinical Scenarios, Why Assess the Thyroid Gland for Size?, The Anatomic Basis of Thyroid Examination, How to Examine the Thyroid Gland to Determine Size, False-Positive and False-Negative Goiter Results, Precision of Estimating Thyroid Size, Accuracy of Estimating Thyroid Size, Bias in Estimating Thyroid Size, The Bottom Line, References

Topics Discussed: goiter, thyroid diseases

Excerpt: "For each of the following patients, assessment of thyroid size is an important part of the clinical examination. In case 1, a 32-year-old woman presents with symptoms and findings consistent with hyperthyroidism, but she has no exophthalmos and has always been anxious. In case 2, a 55-year-old man has a diagnosis of Graves disease, and the choice is made for radioactive iodine ablation therapy. In case 3, a 64-year-old man has a goiter that causes discomfort on swallowing, and thyroxine is administered in an attempt to shrink the thyroid gland...."
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