Riedel's thyroiditis physical examination
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
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
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
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.
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