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Signs & Symptoms
Visible goiter
Ref:
Uptodate
[ Clinical presentation and evaluation of goiter in adults]
Nocturnal dyspnea
Note: due to Tracheal compression
Ref:
Uptodate
[ Clinical presentation and evaluation of goiter in adults]
Choking sensation
Note: due to Tracheal compression
Ref:
Uptodate
[ Clinical presentation and evaluation of goiter in adults]
Stridor at rest
Note: due to Tracheal compression
Ref:
Uptodate
[ Clinical presentation and evaluation of goiter in adults]
Harrison
[ 2711]
Physical Examination
Identification of lower end of thyroid when patient lies down with pillow under shoulders
Note: Identification of the lower end of thyroid when the patient lies down with a pillow under the shoulders to hyperextend the neck
Ref:
Uptodate
[ Clinical presentation and evaluation of goiter in adults]
Imagin Study
Mass causes superior mediastinal widening
Ref:
Uptodate
[ Clinical presentation and evaluation of goiter in adults]
Mass causes tracheal deviation
Ref:
Uptodate
[ Clinical presentation and evaluation of goiter in adults]
Mass causes tracheal narrowing
Ref:
Uptodate
[ Clinical presentation and evaluation of goiter in adults]
Complication
Transient hoarseness
Note: due to vocal cord palsy, due to compression of recurrent laryngeal nerve, Also suggests malignancy
Ref:
Uptodate
[ Clinical presentation and evaluation of goiter in adults]
Harrison
[ 2711]
Cecil
[ 639]
Phrenic nerve paralysis
Ref:
Uptodate
[ Clinical presentation and evaluation of goiter in adults]
Horner syndrome
Note: due to Compression of the cervical sympathetic chain
Ref:
Uptodate
[ Clinical presentation and evaluation of goiter in adults]