Clinical Examination of Thyroid Gland | OSCE Guide: Clinical skills

In this video, is a full depth explanation of how to conduct a thyroid examination for patients with some sort of thyroid condition. The video outlines the basic steps from introducing yourself to clinical examination which involved palpating and observing the two lobes of the thyroid glands for any abnormalities.

The thyroid gland lies in the midline of the anterior neck, just caudal to the thyroid cartilage. To inspect the thyroid gland, the examiner stands in front of the patient. The examiner asks the seated patient to dorsiflex (extend) the neck and swallow a sip of water. Minor enlargement of the gland may only become apparent on inspection in this position. Palpation of the thyroid gland is typically performed with the examiner standing behind the patient. Both lobes and the isthmus of the thyroid gland should be palpated for any nodules or diffuse enlargement. Mobility of the thyroid gland with swallowing should be assessed with palpation. Nodules arising from the thyroid gland typically move with swallowing. A hard, fixed thyroid gland could indicate malignancy. If a central nodule is identified, the patient is asked to protrude the tongue. Upward movement of the central nodule on protrusion of the tongue indicates a thyroglossal cyst. Auscultation is performed at the superior poles of bilateral lobes as this is where the superior thyroid artery is most superficial and bifurcates into its terminal branches. A bilateral bruit over the superior poles suggests Graves disease. Examination of the thyroid gland is completed by palpating the regional cervical lymph nodes for any enlargement.

[saugatamukherjee]

Beautiful helpfull video...excellent neck exam dr.mam....youtube best video 🙏❤

[nguexfm]

Diseases of the thyroid gland are very common in clinical practice 😮

[mohammedahmedshah]

Yes the Dr present Here was standing on the left side

[qfhzfyp]

I have thyroid issue as well at times I'll put on weight and a next time I'm slim, I'm not on any medication I visited my Ent specialist regularly and does whatever test there is to be done it's benign don't know how long it's gonna stay that way because I'm not doing any surgery, away from weight lost I'm not in any pain and I don't want anyone to put me to sleep and that's my only problem, well it's in the family and I pray God I changed my mind😅maybe.

[banothjhansi]

Same situation like u r examing.. My thyroid reports all are normal.. Is it any problem.. Is it recover it self

[MAhmad-lsbo]

pedal edema and knee test is missing for proximal muscle weakness

[urduadab]

You should stand at right side first 😅

[gabriellesolomon]

I’m sorry but I’m so distracted by how beautiful both of these women’s hair is 😅 okay okay I’ll replaying and paying attention now 🤓

[ShivamKumar-fgzw]

You shouldn't be standing on the left side of the patient