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Thyroid-Status-Examination-OSCE-Checklist-Geeky-Medics

The document provides a detailed OSCE checklist for conducting a thyroid status examination, outlining steps from initial patient interaction to specific inspection and palpation techniques. It includes instructions for general inspection, thyroid palpation, lymph node assessment, and special tests. The examination concludes with a summary of findings and recommendations for further assessments.

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Mohsin Chaudhary
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6 views2 pages

Thyroid-Status-Examination-OSCE-Checklist-Geeky-Medics

The document provides a detailed OSCE checklist for conducting a thyroid status examination, outlining steps from initial patient interaction to specific inspection and palpation techniques. It includes instructions for general inspection, thyroid palpation, lymph node assessment, and special tests. The examination concludes with a summary of findings and recommendations for further assessments.

Uploaded by

Mohsin Chaudhary
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Access over 1300 OSCE Stations and Virtual Patients at app.geekymedics.

com

Thyroid Status Examination | OSCE Checklist


geekymedics.com

Introduction

1 Wash your hands and don PPE if appropriate

2 Introduce yourself to the patient including your name and role

3 Confirm the patient's name and date of birth

4 Briefly explain what the examination will involve using patient-friendly language

5 Gain consent to proceed with the examination

6 Ask the patient to sit on a chair for the assessment

7 Adequately expose the patient’s neck and upper sternum

8 Ask if the patient has any pain before proceeding

9 Gather equipment

General inspection

Inspect the patient whilst at rest, looking for clinical signs suggestive of underlying
10
pathology

Hands

11 Palpate the patient’s radial pulse assessing rate and rhythm

Face

Inspect the patient’s face for clinical signs suggestive of thyroid pathology (dry skin,
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excessive sweating, eyebrow loss)

13 Inspect the patient's eyes for evidence of lid retraction, inflammation and exophthalmos

14 Assess for eye movement abnormalities

15 Assess for lid lag

Thyroid inspection

16 Inspect the midline of the neck for evidence of thyroid enlargement, lumps or scars

17 Ask the patient to swallow some water and repeat inspection

18 Ask the patient to protrude their tongue and repeat inspection

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Access over 1300 OSCE Stations and Virtual Patients at app.geekymedics.com

Thyroid palpation

Palpate the patient's thyroid gland assessing size, symmetry and consistency. Also note
19
any masses present in the thyroid tissue.

Ask the patient to swallow some water whilst you feel for symmetrical elevation of the
20
thyroid lobes

21 Ask the patient to protrude their tongue whilst you palpate

Lymph node palpation

22 Palpate local lymph nodes to assess for lymphadenopathy

Trachea

23 Inspect for tracheal deviation

Percussion of the sternum

24 Percuss downwards from the sternal notch for evidence of retrosternal dullness

Auscultation of the thyroid gland

25 Auscultate each lobe of the thyroid for a bruit

Special tests

26 Assess biceps reflex

27 Inspect for pretibial myxoedema

28 Ask the patient to stand with their arms crossed to assess for proximal myopathy

To complete the examination...

29 Explain to the patient that the examination is now finished

30 Thank the patient for their time

31 Dispose of PPE appropriately and wash your hands

32 Summarise your findings

Suggest further assessments and investigations (e.g. thyroid function tests, ECG,
33
ultrasound scan)

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