Abstract

In patients with morphological alterations of the thyroid, both the physical examination (inspection and palpation) and the imaging studies continue to be the cornerstone for their evaluation, treatment, and long-term follow-up. The realization of anatomical figures, obtained by means of a thyroid morphology delineation technique, is proposed as an additional exploratory intervention strategy in the initial clinical evaluation and follow-up of the thyroid gland with morphological alterations. A micropore paper tape is adhered to the surface of the neck skin, specifically in the area where the thyroid gland is located. Subsequently, with a pen, the outer edges of the gland are gently outlined, using a repeated sequence of palpation-outlining until an anatomical figure of the explored gland and its elements is obtained (e.g. thyroid nodules). The anatomical figures obtained by the proposed technique evidenced the progressive changes in the morphology of the thyroid gland and its elements (example: thyroid nodule). This proposal would be an additional strategy to the physical examination performed by the clinician in his office. Although it is not intended to replace the information provided by imaging studies such as ultrasound or CT scan, it can be of great clinical value for initial office evaluation and follow-up of thyroid disease. This technique has some advantages that are useful to reinforce diagnostic and therapeutic decisions based on physical examination of the gland. In addition, it makes it easier for the patient to have a better perception of the evolution of their own disease.

Key words: Thyroid, propedeutic, anatomical figures, clinical evaluation, delineation technique.