Pathophysiology Made Incredibly Easy! by Lippincott

Author:Lippincott [Lippincott]
Language: eng
Format: epub
Tags: Medical, Pathophysiology
ISBN: 9781451146233
Publisher: Lippincott Williams & Wilkins
Published: 2012-04-24T14:00:00+00:00

Touch tells you

On palpation, the thyroid gland may feel asymmetrical, lobular, and enlarged to three or four times its normal size. The liver may also be enlarged. Hyperthyroidism may cause tachycardia, commonly accompanied by a full, bounding, palpable pulse. Hyperreflexia is also present.

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Auscultation of the heart may detect an accelerated heart rate, which may prove to be paroxysmal supraventricular tachycardia or atrial fibrillation when verified by electrocardiogram, especially in elderly patients. Occasionally, a systolic murmur occurs at the left sternal border. Wide pulse pressures may be audible when blood pressure readings are taken. In Graves’ disease, an audible bruit over the thyroid gland indicates thyrotoxicity but, occasionally, it may also be present in other hyperthyroid disorders. With treatment, most patients can lead normal lives.

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