De Quervain's thyroiditis physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{De Quervain's thyroiditis }} | {{De Quervain's thyroiditis }} | ||
{{CMG}}; {{AE}} {{MMF}} | {{CMG}}; {{AE}}{{MMF}} | ||
==Overview== | ==Overview== | ||
Patients with [[de Quervain's thyroiditis]] usually appear fatigued and restless. Physical examination of patients with [[de Quervain's thyroiditis]] is usually remarkable for neck tenderness, [[tachycardia]], and [[palpitations]]. In the recovery phase of de Quervain's thyroiditis patient may | Patients with [[de Quervain's thyroiditis]] usually appear [[Fatigue|fatigued]] and restless. Physical examination of patients with [[de Quervain's thyroiditis]] is usually remarkable for neck tenderness, [[tachycardia]], and [[palpitations]]. In the recovery phase of [[de Quervain's thyroiditis]], the patient may show signs of [[hypothyroidism]]. | ||
==Physical | ==Physical examination== | ||
Physical examination of De Quervain's thyroiditis is as follows:<ref name="urlThyroiditis — NEJM">{{cite web |url=http://www.nejm.org/doi/full/10.1056/NEJMra021194 |title=Thyroiditis — NEJM |format= |work= |accessdate=}}</ref><ref name="pmid12727961">{{cite journal |vauthors=Fatourechi V, Aniszewski JP, Fatourechi GZ, Atkinson EJ, Jacobsen SJ |title=Clinical features and outcome of subacute thyroiditis in an incidence cohort: Olmsted County, Minnesota, study |journal=J. Clin. Endocrinol. Metab. |volume=88 |issue=5 |pages=2100–5 |year=2003 |pmid=12727961 |doi=10.1210/jc.2002-021799 |url=}}</ref><ref name="pmid20886353">{{cite journal |vauthors=Engkakul P, Mahachoklertwattana P, Poomthavorn P |title=Eponym : de Quervain thyroiditis |journal=Eur. J. Pediatr. |volume=170 |issue=4 |pages=427–31 |year=2011 |pmid=20886353 |doi=10.1007/s00431-010-1306-4 |url=}}</ref><ref name="pmid2571803">{{cite journal |vauthors=Leibovitch G, Maaravi Y, Shalev O |title=Severe facial oedema and glossitis associated with mianserin |journal=Lancet |volume=2 |issue=8667 |pages=871–2 |year=1989 |pmid=2571803 |doi= |url=}}</ref> | |||
====Appearance of the Patient==== | ====Appearance of the Patient==== | ||
Patients with de Quervain's thyroiditis usually have: | |||
*[[Fatigue]] | *[[Fatigue]] | ||
*[[Restlessness]] | *[[Restlessness]] | ||
| Line 20: | Line 21: | ||
====Skin==== | ====Skin==== | ||
The patients usually have: | The patients usually have: | ||
*Erythematous and warm skin | *[[Erythematous]] and warm skin | ||
In the recovery phase patients may have: | In the recovery phase patients may have: | ||
| Line 34: | Line 35: | ||
====Throat==== | ====Throat==== | ||
The patients usually have: | The patients usually have: | ||
*Tender thyroid (unilateral or bilateral) | *Tender [[thyroid]] (unilateral or bilateral) | ||
In the recovery phase patients may have: | In the recovery phase patients may have: | ||
* Enlarged thyroid gland or presence of | * Enlarged [[thyroid gland]] or presence of small or shrunken [[thyroid gland]] | ||
====Heart==== | ====Heart==== | ||
| Line 58: | Line 58: | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
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[[Category:Medicine]] | |||
[[Category:Endocrinology]] | |||
[[Category:Up-To-Date]] | |||
Latest revision as of 21:14, 29 July 2020
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De Quervain's thyroiditis Microchapters |
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Differentiating De Quervain's thyroiditis from other Diseases |
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Diagnosis |
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Treatment |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]
Overview
Patients with de Quervain's thyroiditis usually appear fatigued and restless. Physical examination of patients with de Quervain's thyroiditis is usually remarkable for neck tenderness, tachycardia, and palpitations. In the recovery phase of de Quervain's thyroiditis, the patient may show signs of hypothyroidism.
Physical examination
Physical examination of De Quervain's thyroiditis is as follows:[1][2][3][4]
Appearance of the Patient
Patients with de Quervain's thyroiditis usually have:
Vital Signs
The patients usually have:
In the recovery phase patients may have:
Skin
The patients usually have:
- Erythematous and warm skin
In the recovery phase patients may have:
- Dry skin
- Coarse hair
Head
The patients usually have:
In the recovery phase patients may have:
- Puffy face
Throat
The patients usually have:
- Tender thyroid (unilateral or bilateral)
In the recovery phase patients may have:
- Enlarged thyroid gland or presence of small or shrunken thyroid gland
Heart
The patients usually have:
Respiratory
The patients usually have:
In the recovery phase patients may have:
Neurologic
The patients usually have:
In the recovery phase patients may have:
- Slowed speech
- Slowed reflexes
References
- ↑ "Thyroiditis — NEJM".
- ↑ Fatourechi V, Aniszewski JP, Fatourechi GZ, Atkinson EJ, Jacobsen SJ (2003). "Clinical features and outcome of subacute thyroiditis in an incidence cohort: Olmsted County, Minnesota, study". J. Clin. Endocrinol. Metab. 88 (5): 2100–5. doi:10.1210/jc.2002-021799. PMID 12727961.
- ↑ Engkakul P, Mahachoklertwattana P, Poomthavorn P (2011). "Eponym : de Quervain thyroiditis". Eur. J. Pediatr. 170 (4): 427–31. doi:10.1007/s00431-010-1306-4. PMID 20886353.
- ↑ Leibovitch G, Maaravi Y, Shalev O (1989). "Severe facial oedema and glossitis associated with mianserin". Lancet. 2 (8667): 871–2. PMID 2571803.