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The index finger is on the cricothyroid membrane
(below). The Thyroid
cartilage (Adam's Apple) is above the finger, and the Cricoid cartilage is
below the finger.
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The two soft lobes of the thyroid gland, fused in the
midline below the cricoid cartilage, rise up on either side of the
trachea.
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Thyroid Gland
It is shaped like a butterfly, and lies in the anterior part of the neck,
below the larynx. It consists of two lobes, one on each side of the upper trachea,
connected by a strip of tissue called the isthmus. The thyroid secretes the
iodine containing hormone THYROXIN, which controls the rate of cell metabolism.
Examine the Neck
-
Inspect the neck for masses or asymmetry.
- Evaluate range of motion and palpate for midline position of the trachea.
- Inspect and palpate the thyroid gland. It should be smooth,
symmetrical, and not enlarged.
- Inspect and palpate for lymph notes.
- If a node is enlarged or tender look for a source in the area that it drains. Tender nodes suggest inflammation; hard or fixed nodes suggest malignancy. Is it a node, muscle or artery: Remember you should be able to roll a node in two directions up and down, and side to side a muscle or artery will not pass this test.
- Check for nuchal rigidity touch chin to sternum. Pain is a sign of meningeal irritation.
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Source:
Operational Medicine 2001, Health
Care in Military Settings, NAVMED P-5139, May 1, 2001, Bureau
of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington,
D.C., 20372-5300
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