怎样检查甲状腺

    The thyroid gland is located below the normal thyroid cartilage, 15 ～ 20g, smooth surface, soft and not easy to touch. In the swallowing movements with swallowing moves up and down, this can be the anterior cervical other mass identification. Examination of the thyroid gland when the patient is sitting, fully exposed the neck, the head slightly. The doctor by inspection, palpation, auscultation order check. Visual diagnosis observation of thyroid size and symmetry. identify the contour is increasing, but not necessarily with clinical pathological significance. As a female in puberty can be enlarged slightly. Check order by checking to swallow. Swallowing, visible thyroid with up and down movement. Is not easy to be identified, told by checking both hands on the pillow, head back, then observed that more obvious. Palpation palpation of the thyroid is enlarged, the purpose is clear, there is no enlargement is symmetrical nodules and nodules of the site, size, number, surface properties, texture, motion, tenderness, tremor, fluctuation.

    Check should respectively on both sides of the isthmus thyroid lobe and touch, pay attention to whether the above phenomenon. There are two kinds of methods: 1 palpation bimanual palpation examination can be located in the patient's back, respectively, on both sides of lobe and isthmus of thyroid palpation. Examination of the left lobe, right index finger and middle finger in the thyroid cartilage trachea right to left nudge right thyroid lobe, left hand is shown, in three, ring finger left thyroid contour, size, there is no nodules, use the same method to check the right lobe, again with the index finger and middle finger palpation of bilateral thyroid isthmus. Check enjoin patient with to do with swallowing swallowing, moving up and down is the thyroid gland. Bimanual examination method can also be used in front of the patient, check with the left thumb in the thyroid cartilage trachea right left nudge right lobe, right hand and, in three, the ring finger of left lobe, right lobe exchange check.

    The 2 single hand palpation inspection right thumb is placed on the right side of the cricoid cartilage and trachea, the thyroid light to the left, the remaining shows, in three, the ring finger to the left lobe of the thyroid gland, exchange with the same method to check the right lobe. Auscultatory normal thyroid area does not listen to vascular murmur. Hyperthyroidism, with a bell-shaped stethoscope is placed directly in the enlargement of the thyroid gland, on the part of the patient can be heard continuous vascular murmur, the diagnosis of hyperthyroidism is very helpful. In diffuse goiter with hyperthyroidism can also be heard systolic arterial murmur.