De Quervain's thyroiditis physical examination

De Quervain's thyroiditis Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating De Quervain's thyroiditis from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications, and Prognosis
Diagnosis
Diagnostic Criteria
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
Chest X Ray
CT
MRI
Echocardiography or Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary prevention
Secondary prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies

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 palpitaitons.

Physical Examination

Appearance of the Patient

• Patients with de Quervain's thyroiditis usually appear fatigued and restless.

Vital Signs

• Tachycardia (in hyperthyroidism)
• Bradycardia (in hypothyroidism)

Skin

The patients usually have:

• Erythematous and warm skin

The patients may have:

• Dry skin
• Coarse hair

Head

The patients usually have:

• Flushed face

The patients may have:

• Puffy face

Throat

The patients usually have:

• Tender thyroid (unilateral or bilateral)

The patients may have:

• Enlarged thyroid gland or presence of goiter
• Small or shrunken thyroid gland (late in the disease)

Heart

The patients usually have:

• Tachycardia

Respiratory

The patients usually have:

• Tachypnea

THe patients may have:

• Bradypnea

Neurologic

The patients usually have:

• Tremors

The patients may have:

• Slowed speech
• Slowed reflexes