What is palpated from the front during the neck exam ?
What is percussed in the neck exam ?
What do we auscultate for in the neck exam ?
Thyroid bruit; carotid bruit
In the neck examination what comes under the category of other ?
What are Chvostek's and Trousseau's signs ?
When should Chvostek's and Trousseau's signes tested ?
What is Chvostek's sign ?
What is Trousseau's sign ?
How long can Troussseau's sign be tested for ?
Two minutes
What should be examined in the legs in the thyroid exam ?
What is seen in the ankle jerk in the thyroid exam ?
CUSHINGS EXAMINATION
What is a typical stem for cushing's disease/syndrome ?
56 year old man has noted recent weight gain
What is the differenct between cushings syndrome and cushing's disease ?
Disease refers specifically to a pituitary dependant cause !
How is the patient exposed in the cushing's exam ?
Undressed to the underpants
What are the three examination positions for cushing's disease ?
Standing; sitting; lying
What is examined in the standing position of the cushing's exam ? (2)
General inspection; arms
What should be noted on general examination in the Cushing's exam ?
Look from front sides and behind; central adiposity with peripheral sparing; skin bruising; atrophy and pigmentation of extensor areas; poor wound healing
What should be tested on the arms in the thyroid exam ? How ?
Purple striae; Proximal myopathy (squat)
How is the patient positioned after examining the arms in the cushing's exam ?
Sitting
What is examined in the sitting position of the Cushing's exam ?
Face
What should be noted in the face in the cushing's exam ?