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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