Riedel's thyroiditis physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
Physical examination of patients with Riedel's thyroiditis is usually remarkable for hard thyroid mass and clinical signs of [[hypothyroidism]] such as [[fatigue]], [[bradycardia]], [[bradypnea]]. Patients may have the clinical signs of [[hypocalcemia]] such as positive [[Chvostek's sign|Chvostek sign]] and positive [[Trousseau sign]].<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="pmid15298150">{{cite journal |vauthors=Papi G, LiVolsi VA |title=Current concepts on Riedel thyroiditis |journal=Am. J. Clin. Pathol. |volume=121 Suppl |issue= |pages=S50–63 |year=2004 |pmid=15298150 |doi= |url=}}</ref><ref name="pmid21832114">{{cite journal |vauthors=Hennessey JV |title=Clinical review: Riedel's thyroiditis: a clinical review |journal=J. Clin. Endocrinol. Metab. |volume=96 |issue=10 |pages=3031–41 |year=2011 |pmid=21832114 |doi=10.1210/jc.2011-0617 |url=}}</ref> | |||
====Appearance of the Patient==== | ====Appearance of the Patient==== | ||
* Patients with Riedel's thyroiditis may appear fatigued. | * Patients with Riedel's thyroiditis may appear [[Fatigue|fatigued]]. | ||
===Vital Signs=== | ===Vital Signs=== | ||
Patient may have: | |||
*Low-grade | *[[Low-grade fever]] | ||
*[[Bradycardia]] | *[[Bradycardia]] | ||
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===HEENT=== | ===HEENT=== | ||
Patient may have: | |||
*Positive [[Chvostek's sign|Chvostek sign]] | *Positive [[Chvostek's sign|Chvostek sign]] | ||
===Neck=== | ===Neck=== | ||
*Hard/fixed [[Thyroid mass causes|thyroid mass]] | *Hard/fixed [[Thyroid mass causes|thyroid mass]] | ||
* Enlarged thyroid gland or presence of [[goiter]] | * Enlarged [[thyroid gland]] or presence of [[goiter]] | ||
* Small or shrunken thyroid gland | * Small or shrunken [[thyroid gland]] | ||
===Respiratory=== | ===Respiratory=== | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
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[[Category:Medicine]] | |||
[[Category:Endocrinology]] | |||
[[Category:Up-To-Date]] | |||
Latest revision as of 00:01, 30 July 2020
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Riedel's thyroiditis Microchapters |
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Riedel's thyroiditis physical examination On the Web |
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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
Physical examination of patients with Riedel's thyroiditis is usually remarkable for hard thyroid mass and clinical signs of hypothyroidism such as fatigue, bradycardia, bradypnea. Patients may have the clinical signs of hypocalcemia such as positive Chvostek sign and positive Trousseau sign.
Physical Examination
Physical examination of patients with Riedel's thyroiditis is usually remarkable for hard thyroid mass and clinical signs of hypothyroidism such as fatigue, bradycardia, bradypnea. Patients may have the clinical signs of hypocalcemia such as positive Chvostek sign and positive Trousseau sign.[1][2][3]
Appearance of the Patient
- Patients with Riedel's thyroiditis may appear fatigued.
Vital Signs
Patient may have:
Skin
- Dry skin
- Coarse hair
HEENT
Patient may have:
- Positive Chvostek sign
Neck
- Hard/fixed thyroid mass
- Enlarged thyroid gland or presence of goiter
- Small or shrunken thyroid gland
Respiratory
Neuromuscular
- Slowed speech
- Slowed reflexes
Extremities
- Positive Trousseau sign
References
- ↑ "Thyroiditis — NEJM".
- ↑ Papi G, LiVolsi VA (2004). "Current concepts on Riedel thyroiditis". Am. J. Clin. Pathol. 121 Suppl: S50–63. PMID 15298150.
- ↑ Hennessey JV (2011). "Clinical review: Riedel's thyroiditis: a clinical review". J. Clin. Endocrinol. Metab. 96 (10): 3031–41. doi:10.1210/jc.2011-0617. PMID 21832114.