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Is it focal or diffuse? Focal masses in the thyroid include thyroglossal cyst, toxic adenoma, colloid cyst, Riedel's struma, nontoxic adenoma, and malignancies.
Is there movement with protrusion of the ... DIAGNOSTIC WORKUP
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... Chvostek's sign is an abnormal spasm of the facial muscles that's elicited by lightly tapping the patient's facial nerve near his lower jaw. (See Eliciting Chvostek's sign.) This sign usually suggests hypocalcemia, but can occur normally in about 25% of cases. Typically, it precedes... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... An enlarged thyroid can result from inflammation, physiologic changes, iodine deficiency, thyroid tumors, and drugs. Depending on the medical cause, hyperfunction or hypofunction may occur with resulting excess or deficiency, respectively, of the... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... Hyperparathyroidism is characterized by overactivity of one or more of the four parathyroid glands, resulting in excessive secretion of parathyroid hormone (PTH). Hypersecretion of PTH promotes bone resorption and leads to hypercalcemia and hypophosphatemia, which in turn results... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Primarily a disease of older adults, cancer is second only to cardiovascular disease as the leading cause of death in the United States (more than 560,000 deaths annually). More than 67% of patients who die of cancer are older than age 65. The... What causes cancer? ... Immune response ... Diagnostic methods ... Staging and grading ... Five major therapies ... Maintaining nutrition and fluid balance ... If the patient can't eat ... Total parenteral nutrition ... Pain control critical ... The hospice approach ... Psychological aspects ... Pictures
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... Malignant spinal neoplasms may be any one of many tumor types similar to intracranial tumors; they involve the cord or its roots and, if untreated, can eventually cause paralysis. As primary tumors, they originate in the meningeal coverings, the... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Chvostek’s sign is an abnormal spasm of the facial muscles that’s elicited by lightly tapping the patient’s facial nerve near his lower jaw. (See Eliciting Chvostek’s sign, page 180.) This sign usually suggests hypocalcemia... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... An enlarged thyroid can result from inflammation, physiologic changes, iodine deficiency, and thyroid tumors. Depending on the medical cause, hyperfunction or hypofunction may occur with resulting excess or deficiency, respectively, of the hormone thyroxine. If no... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling
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... Stephen F. Wheeler and David E. Bybee
Goiter, an enlarged thyroid gland, is the most common thyroid abnormality. Goiter is termed endemic if it occurs in more than 10% of a population. Endemic goiter most... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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... Differential Overview
Neck Mass
❑ Inflammatory lymphadenopathy
❑ Parotid swelling/tumor
❑ Laryngeal cancer
❑ ... Diagnostic Approach ... Clinical Findings
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... Characterized by overactivity of one or more of the four parathyroid glands, hyperparathyroidism results from excessive secretion of parathyroid hormone (PTH). Such hypersecretion of PTH promotes bone resorption and leads to hypercalcemia and... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Chvostek’s sign is an abnormal spasm of the facial muscles that’s elicited by lightly tapping the patient’s facial nerve near his lower jaw. (See Eliciting Chvostek’s sign.) This sign usually suggests hypocalcemia but can occur normally in... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ EXCERPTS »
... An enlarged thyroid can result from inflammation, physiologic changes, iodine deficiency, and thyroid tumors. Depending on the medical cause, hyperfunction or hypofunction may occur with resulting excess or deficiency, respectively, of the hormone... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
... READ EXCERPTS »
... Chvostek's sign is an abnormal spasm of the facial muscles that's elicited by lightly tapping the patient's facial nerve near his lower jaw. (See Eliciting Chvostek's sign, page 138.)
This sign usually suggests hypocalcemia, but can occur... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
... An enlarged thyroid can result from inflammation, physiologic changes, iodine deficiency, thyroid tumors, and drugs. Depending on the medical cause, hyperfunction or hypofunction may occur with resulting excess or deficiency, respectively, of the... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ EXCERPTS »