Institutional Subscriptions   Individual Subscriptions 
Editors/Authors   Librarians   Newsletter   Site Tour   A-Z Index   About   Contact Us   Help 
Log In | Log In via Athens
Disable Autosuggest
The Rational Clinical Examination
David L. Simel, Drummond Rennie
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...."
Log in to read the full chapter:
Subscriber Log In
Forgot your username/password?
Get full access to JAMAevidence two ways:
Subscribe to JAMAevidence
JAMAevidence is a subscription-
based website dedicated to the learning, teaching, and practicing of evidence-based medicine.
Pay Per View
Timed access to all of JAMAevidence
24 hours for $34.95
48 hours for $54.95
Copyright © American Medical Association. All rights reserved.  |  JAMA  |  McGraw-Hill Global Education Holdings, LLC.
Privacy Notice. Any use is subject to the Terms of Use and Notice. Additional Credits and Copyright Information.
Your IP address is