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The Summary

Matthieu DeClerck, MD and Mizuho Morrison, DO
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17:13
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No me gusta!

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Matt M., MD -

Good job as usual...I have been doing acute care medicine for over 30 years, and for the last...probably 20 or so, have made it a habit to do a couple things in the PE on every single patient - one is the thyroid exam, and the other is heart an lung exam - so, I have picked up countless thyroid nodules, and previously unheard murmurs, plus a few Afibs thrown in. But for the thyroid, I have not been giving them a cup of water and standing behind them with both hands around their neck, as I also learned in medical school. The pace at which we work does not allow for that, so...knowing that everyone can swallow once without anything to drink, I simply put my left hand under the occiput to steady their head and neck, and my right hand under the thyroid cartilage with my thumb on their right side, and the tip of my index and middle fingers to the left - then have them swallow. After a couple of years of this, I got really good at feeling an abnormal thyroid. Matt Mullen

Mike W., MD -

Good suggestion Matt - thx for sharing!!

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Better Put A Ring On It Full episode audio for MD edition 196:02 min - 92 MB - M4AHippo UC RAP May 2018 Written Summary 367 KB - PDF