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Examination of the Thyroid Gland and Thyroid Status assessment CSO would like to acknowledge Dr Michelle Downie for performing this examination technique Q1: When examining a patient with thyroid disease list 3 possible signs you might observe from a general inspection? Thinning/dry/brittle hair Loss of outer third of eyebrows Facial myxoedema Agitation Lid retraction Weight changes Appropriate dress for temperature Q2: When examining the same patients hands list 3 things you might observe? Palmer erythema Sweaty/dry palms Tremor Thyroid acropachy Onycholysis Q3: When examining the same patient’s eyes what might you be looking for? Lid lag Ophthalmoplegia Proptosis Exophthalmus Q4: Suggest 3 other signs from the ones above that you may detect when examining a patient with thyroid disease Proximal myopathy Slow/brisk Reflexes Pre-tibial myxoedema Pulse Tachy/brady cardia Q5: When palpating the thyroid gland what would ask the patient to do to help confirm your diagnosis? |
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