Thyroiditis (Thyroid Gland Inflammation): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; further: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Inspection and palpation (palpation) of the thyroid gland and regional lymph nodes [pressure painful thyroid?; swollen … Thyroiditis (Thyroid Gland Inflammation): Examination

Thyroiditis (Thyroid Gland Inflammation): Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count ESR (erythrocyte sedimentation rate) [acute thyroiditis: ESR ↑; subacute thyroiditis: ESR ↑↑] CRP (C-reactive protein) [acute thyroiditis: CRP ↑; subacute thyroiditis: CRP (↑)] Thyroid parameters – TSH (thyroid-stimulating hormone), fT3 (triiodothyronine), fT4 (thyroxine). Laboratory parameters 2nd order – depending on the results … Thyroiditis (Thyroid Gland Inflammation): Test and Diagnosis

Thyroiditis (Thyroid Gland Inflammation): Drug Therapy

General measures Review of permanent medication due topossible effect on existing disease. Acute thyroiditis Therapeutic goal Elimination of the pathogens Therapy recommendations Antibiosis (antibiotic therapy), adjusting antibiosis if necessary after obtaining the resistogram. Thyroiditis de Quervain (subacute thyroiditis) Therapeutic targets Analgesia (pain relief) Restoration of euthyroidism, if necessary Therapy recommendations Anti-inflammation (anti-inflammation). Nonsteroidal anti-inflammatory drugs … Thyroiditis (Thyroid Gland Inflammation): Drug Therapy

Thyroiditis (Thyroid Gland Inflammation): Diagnostic Tests

Mandatory medical device diagnostics. Thyroid ultrasonography (ultrasound examination of the thyroid gland) – as a basic examination to determine thyroid size and volume as well as any structural changes such as nodules; if necessary, with fine-needle biopsy[autoimmune thyroiditis (AIT): echo-poor parenchyma (“tissue”) with reduced vascularization (vascular drawing) or, in addition, in the case of prolonged … Thyroiditis (Thyroid Gland Inflammation): Diagnostic Tests

Thyroiditis (Thyroid Gland Inflammation): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate acute thyroiditis: Leading symptoms Acute onset Pain in the area of the thyroid gland Fever If necessary, swelling of the regional lymph nodes. The following symptoms and complaints may indicate thyroiditis de Quervain (subacute thyroiditis): Leading symptoms Flu-like symptoms may be preceded by. Acute sore throat, initially unilateral … Thyroiditis (Thyroid Gland Inflammation): Symptoms, Complaints, Signs

Thyroiditis (Thyroid Gland Inflammation): Causes

Pathogenesis (disease development) of acute thyroiditis Acute suppurative thyroiditis is caused by infection with bacteria, viruses, fungi, etc. Most often, the cause is a piriform sinus, a developmental remnant. In older individuals, a long-standing goiter or thyroid tumor may be causative. Etiology (causes) of acute thyroiditis Disease-related causes Infectious and parasitic diseases (A00-B99). Bacterial infections, … Thyroiditis (Thyroid Gland Inflammation): Causes

Thyroiditis (Thyroid Gland Inflammation): Medical History

Medical history (history of illness) is an important component in the diagnosis of thyroiditis (thyroiditis). Family history What is the general health of your relatives? Are there any diseases in your family that are common? Social history What is your profession? Current medical history/systemic history (somatic and psychological complaints). Do you suffer from pain in … Thyroiditis (Thyroid Gland Inflammation): Medical History

Thyroiditis (Thyroid Gland Inflammation): Or something else? Differential Diagnosis

Respiratory System (J00-J99). Pharyngitis (pharyngitis). Endocrine, nutritional, and metabolic diseases (E00-E90). Hyperthyroidism (hyperthyroidism), unspecified. Thyroid abscess – encapsulated collection of pus in the thyroid gland. Struma multinodosa – nodular change in thyroid tissue. Neoplasms – tumor diseases (C00-D48) Thyroid carcinoma (thyroid cancer). Medication Cytokines such as interferon alpha or interleukin-2. Amiodarone

Thyroiditis (Thyroid Gland Inflammation): Complications

The following are the most important diseases or complications that may be contributed to by acute thyroiditis: Respiratory system (J00-J99) Mediastinitis – inflammation of the tissue between the two pleural cavities, where the heart is also located. The following are the most important diseases or complications that can be caused by thyroiditis de Quervain (subacute … Thyroiditis (Thyroid Gland Inflammation): Complications