TRUE OR FALSE: In all patients, the thyroid should be symmetric without discrete masses, nodularity, and definitely tender
False, the thyroid should NOT be tender.
TRUE OR FALSE: Thyroid gland is palpable in healthy people
False
TRUE OR FALSE: Cervical lymph nodes are usually palpable
False, they are usually NOT palpable. Submandibular glands may be more prominent from less subcutaneous fat.
Describe lymphatics that would require emergency investigation
-Larger than 1cm, irregular, hard/rubbery, nontender, fixed, could indicate Lymphoma.
-Palpable, warm, and tender usually indicate an infection
Symptoms of hyperthyroidism include
Tachycardia, diarrhea, anxiety, fever, weakness, and even psychosis. Bruit heard upon auscultation
Symptoms of hypothyroidism include
Weight gain, hair loss, constipation, coarse dry hair
Neck pain with fever could indicate
Meningitis
Patients presenting with sudden onset of neck pain shold be evaulated for a possible
MI
In light of this chapter, tell me about a bruit
A bruit is a sign of increased blood flow. It is a sound that can be heard upon auscultation of the thyroid.
A focused area for pregnant women is the need for regular examinations that include the
Thyroid screening
List some red flags for headaches
Onset of new or different headache, Nausea or vomitting, progressive visual or neurlogical changes, weakness, onset after 50 years of age (more on pg. 326)
Blotchy, hyperpigmented patch called ________ appears during pregnancy and fades in the postpartum period
Chloasma
Detection of maternal and fetal _____thyroidism is of major importance because of potential damage to fetal neural development, an increased incidence of miscarriage, and preterm birth
HYPO
Hypothyroidism in the older adult (lacks, follows) the classic symptoms seen in younger adults
Lacks
The older adult is more prone to (hypo, hyper) thyroidism
HYPER
Infants with Down's Syndrome are more likely to present with
