Neck & Thyroid Exam

Introduces self	0	1
Confirms name & age of patient	0	1
Explains & gains consent	0	1
Asks about duration and changes to lump	0	1
Asks about other lumps or travel	0	1
Asks for impact on life	0	1
Asks if breathing/swallowing affected	0	1
Asks about temperature, weight, bowel habits	0	1
Washes hands	0	1
Exposes patient from waist up	0	1
Asks if patient is in pain	0	1
General inspection around bed & patient for body habitus, clothing, medication	0	1
Examines nails for acropachy and palms for warmth and sweat	0	1
Feels pulse	0	1
Checks for tremor	0	1
Inspects for hair changes, loss of the eyebrow, exophthalmos, chemosis & hair changes	0	1
Checks for ophthalmoplegia	0	1
Checks for lid lag and lid retraction	0	1
Comments on site, colour	0	1
Asks patient to sip water whilst looking at lump	0	1
Asks patient to stick out tongue	0	1
Palpates and asks if tender	0	1
Palpates for shape, size, surface, consistency, depressibility, pulsatility	0	1
Describes edge, temperature, mobility	0	1
Looks inside mouth and comments on tonsillar size	0	1
Percusses for retrosternal goitre and comments	0	1
Auscultates lump	0	1
Assesses proximal lymph nodes	0	1
Assesses for deviation of trachea, JVP/carotid	0	1
Checks reflexes. Asks patient to stand without using their arms to assess for proximal myopathy	0	1
Thanks patient and offers help to redress	0	1
Washes hands	0	1
Requests thyroid hormone profile and ultrasound of thyroid	0	1
Summarises appropriately with only key findings	0	1
Offers appropriate differential diagnoses	0	1
Patient global score	0	1	2

Share this

Related Posts