Thank you for participating in the session and making it so interesting and interactive.
The scenario was younger of 12 referred by GP for being tired and deteriorating academically. A neck swelling was noted. The task was to examine the neck and any other relevant examination.
DR V took the hot seat and had a good attempt at the examination and discussion. Other gave their contributions after and in the end all was noted and discussed.
- Any Clinical station: Summarize Universal cues in 30 seconds and proceed from there …
- DD of midline neck swelling: Thyroid, Thyroglossal cyst, Cystic hygroma
- Neck swelling – palpate from the back beside the front – need to vocalize clearly.
- Try to get ‘under’ the swelling. If cannot percuss sternum from extension of swelling.
- Auscultate over the swelling for bruits.
- Check eye signs, leg swelling – oedema due to hypothyroid.
- ‘Pubertal Goitre’ is common in girls and is Euthyroid.
Add your comments of points I may have missed.