Thyrotoxicosis Symptoms and Examination
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Questions and Answers

Which of the following signs on physical examination might indicate anaemia?

  • Pale skin and mucous membranes
  • Rapid heart rate
  • Shortness of breath
  • All of the above (correct)

    • How would you explain anaemia to Jane without using any medical terminology?

  • Your body is not producing enough red blood cells.
  • You have a deficiency in your diet that is causing your blood to be thinner.
  • Your blood is not circulating properly through your body.
  • Your blood doesn't have enough of the red pigment that carries oxygen around your body. (correct)

    • What is palmar erythema?

  • Swelling of the palms of the hands
  • Redness of the palms of the hands (correct)
  • Increased temperature in the palms of the hands
  • Peeling skin on the palms of the hands

    • What other causes of palmar erythema might be present?

    <p>All of the above</p> Signup and view all the answers

    What other findings would you expect on examining the patient's eyes?

    <p>All of the above</p> Signup and view all the answers

    What is the difference between pain and tenderness?

    <p>Pain is a subjective experience, while tenderness is an objective finding on physical examination.</p> Signup and view all the answers

    Which of the following is NOT a symptom of thyrotoxicosis (hyperthyroidism) that Zaineb may be experiencing?

    <p>Increased appetite</p> Signup and view all the answers

    On examining Zaineb's face, which of the following features would you expect to find?

    <p>All of the above</p> Signup and view all the answers

    What would you expect Zaineb's pulse and blood pressure to be?

    <p>Tachycardia (fast pulse) and hypertension (high blood pressure)</p> Signup and view all the answers

    When examining Zaineb's hands, what finding would you expect?

    <p>Both A and B</p> Signup and view all the answers

    How would you examine for tremor in Zaineb?

    <p>Both A and B</p> Signup and view all the answers

    In explaining hyperthyroidism to Zaineb, which of the following statements would be INCORRECT?

    <p>It is caused by an underactive thyroid gland</p> Signup and view all the answers

    What is cyanosis?

    <p>A bluish discoloration of the skin and mucous membranes due to an increased concentration of deoxygenated hemoglobin in the blood</p> Signup and view all the answers

    How would you differentiate between central and peripheral cyanosis on examination?

    <p>Central cyanosis affects the face, lips, and tongue, while peripheral cyanosis affects the fingers and toes</p> Signup and view all the answers

    What is ankle edema?

    <p>Swelling of the ankles caused by an accumulation of fluid in the interstitial tissue</p> Signup and view all the answers

    How can you detect ankle edema clinically?

    <p>By pressing firmly on the swollen area and observing for a pit or indentation that persists after removing the pressure</p> Signup and view all the answers

    What are the TWO common types of ankle edema? How can you differentiate between them?

    <p>Pitting edema and non-pitting edema. Pitting edema leaves an indentation when pressed, while non-pitting edema does not.</p> Signup and view all the answers

    If Jabbar develops pre-renal shutdown, what would be the changes in renal function?

    <p>Increased blood urea and serum creatinine levels, indicating impaired kidney function</p> Signup and view all the answers

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