25 February 2010

Multinodular goitre

toxic
non- toxic

Inspection:
  • general thyroid status
  • neck swelling – moves with swallowing
  • previous surgery

Palpation:
  • number of nodules – any prominent nodules
  • infiltration of ?both lobes
  • lymph node involvement
  • firm consistency
  • thrill

Auscultation:
  • bruit

Investigation:
  • blood test: thyroid function
  • imaging:
    • USG
    • isotope scan
      • cold – suspicious of malignancy
      • hot