Download - Thyroid Clinical sheet
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Thyroid swelling (history )
By Dr / Ahmed Osama Hassan
Assistant lecturer of pediatric surgery
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Name Age Sex Occupation Residence Marital state Special habits
Personal history
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20 years >>> papillary carcinoma physiological goitre
30 years >>> MNG , 1RY thyrotoxicosis
40 years >>> 2ry thyrotoxicosis , follicular carcinoma
50 years >>> anaplastic carcinoma
Age
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female patient named …….& married since ….. And has …. Children , the youngest is ….. Years old . The patient is work
Example
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Swelling in the neck + pain Toxic syptoms Pressure or neoplastic
Complaint
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Swelling
In the front of the neck + lateral swelling !!!!
Present history
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Slowly progressive 1. toxic and nodular goitre 2. papillary carcinoma
Rapid progressive Anaplastic carcinoma ( rapid onset )
Regressive : subacute thyroiditis
Course of swelling
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In the gland Hge Inflammation Malignancy
Pain
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Outside gland Bone ache Pain referred to ear
Pain … cont.
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CVS Palpitation Exertional dyspnea
Toxic manifestations :
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CNS
Insomnia Irritability Nervousness Nightmares
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GIT Loss of weight Intolerance to hot tempreture
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Rapid increase in size Hoarseness of voice Pain in the gland Pain referred to ear
Neoplastic symptoms
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The condition started …. By swelling at lower part of the neck with gradual onset and slowly progressive course . The swelling moves up and down with deglutition . Swelling not painful
There is no symptoms suggest thyrotoxicosis
There is no symptoms suggest malignancy There is no pressure symptoms
Example of present history
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Similar condition Other disease ( DM , HPN ) Operation Medication Drugs or irradiation
Past history
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Medullar carcinoma Pendred syndrome Exposure to same condition Enzymatic deficiency
Family history
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Thanks