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The Thyroid Gland

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Related Experiment Video

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Author Spotlight: Integrating Ultrasound Imaging with Biochemical Markers for Thyroid Disease Diagnosis

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Published on: February 9, 2024

Anatomy-based approach to the thyroid examination.

Olivia C Matz¹, Hannah C Gustafson¹, Jose Figueroa¹

¹Des Moines University College of Osteopathic Medicine, Des Moines, IA, USA.

Journal of Osteopathic Medicine

|March 20, 2023

Summary

This study introduces an improved anatomy-based neck and thyroid examination. The modified technique enhances palpation for earlier detection of thyroid conditions.

Keywords:

palpation sternocleidomastoid thyroid thyroid exam thyroid nodules

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Area of Science:

Anatomy
Endocrinology
Physical Examination

Background:

Traditional thyroid palpation methods are limited by anatomical structures like the sternocleidomastoid (SCM) and sternothyroid muscles.
A significant portion of the thyroid gland is difficult to access with standard examination techniques.
Increasing incidence of thyroid cancer necessitates improved diagnostic methods.

Purpose of the Study:

To present a modified anatomy-based neck and thyroid examination.
To enhance the comprehensiveness of physical evaluation for the thyroid gland.
To facilitate earlier detection of thyroid abnormalities through improved palpation.

Main Methods:

Anatomy-based inspection and palpation are central to the proposed evaluation.
The technique involves specific neck movements: flexion, side bending, and rotation.
The approach aims to minimize intervening structures between the examiner's fingers and the thyroid gland.

Main Results:

The modified approach allows for better palpation of the thyroid gland, including its lateral aspects.
By repositioning superficial muscles, deeper parts of the thyroid become more accessible.
This method may overcome limitations of examining the thyroid from behind the patient, where nodules can be obscured.

Conclusions:

The modified anatomy-based thyroid examination offers a more thorough evaluation.
Improved palpation can lead to earlier detection of thyroid nodules and cancers.
This technique holds potential for earlier diagnosis and treatment initiation.