Thyrotoxicosis Symptoms and Examination

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18 Questions

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

All of the above

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

Your blood doesn't have enough of the red pigment that carries oxygen around your body.

What is palmar erythema?

Redness of the palms of the hands

What other causes of palmar erythema might be present?

All of the above

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

All of the above

What is the difference between pain and tenderness?

Pain is a subjective experience, while tenderness is an objective finding on physical examination.

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

Increased appetite

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

All of the above

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

Tachycardia (fast pulse) and hypertension (high blood pressure)

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

Both A and B

How would you examine for tremor in Zaineb?

Both A and B

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

It is caused by an underactive thyroid gland

What is cyanosis?

A bluish discoloration of the skin and mucous membranes due to an increased concentration of deoxygenated hemoglobin in the blood

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

Central cyanosis affects the face, lips, and tongue, while peripheral cyanosis affects the fingers and toes

What is ankle edema?

Swelling of the ankles caused by an accumulation of fluid in the interstitial tissue

How can you detect ankle edema clinically?

By pressing firmly on the swollen area and observing for a pit or indentation that persists after removing the pressure

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

Pitting edema and non-pitting edema. Pitting edema leaves an indentation when pressed, while non-pitting edema does not.

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

Increased blood urea and serum creatinine levels, indicating impaired kidney function

This quiz covers the symptoms of thyrotoxicosis, including increased heart rate, palpitations, sweating, and more. It also explores the features to expect when examining the face of a thyrotoxic patient, as well as the expected pulse and blood pressure readings.

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