Correct Technique for Thyroid Palpation

Proper Hand Positioning and Approach

Thyroid palpation is a crucial clinical skill in general medicine, used for assessing thyroid gland abnormalities such as enlargement, nodules, or tenderness.

Step-by-Step Approach

1. Patient Positioning

Ensure the patient is sitting upright, preferably with their neck slightly extended to provide better access to the thyroid gland.

2. Examiner’s Hand Placement

Place both hands on either side of the patient's neck, with thumbs resting posteriorly and fingers positioned laterally along the trachea.

3. Palpation Technique

• Gently ask the patient to swallow while palpating the gland to assess mobility.
• Examine for asymmetry, nodularity, or tenderness.
• Apply slight pressure but avoid excessive force to prevent discomfort.

Clinical Findings

Abnormal findings may include:

• Goiter (thyroid enlargement)
• Nodules (discrete masses within the gland)
• Tenderness (suggestive of thyroiditis)

Conclusion

Correct thyroid palpation enhances early detection of thyroid disorders, aiding in timely diagnosis and management.