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Physical Exam

Goiter: Sensitivity and Specificity

Introduction: Enlargement of the thyroid gland, commonly from iodine deficiency, Graves disease, or multinodular goiter. See also hypothyroidism or hyperthyroidism.

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Tags: Endocrine Tag this Diagnosis.

The sensitivity and specificity of findings for Goiter are listed below. See the left navigation bar to change the display.

Physical Exam

Finding SensitivitySpecificity Comments, Study
Palpable Thyroid
Duplicate Edit
56%76%

WHO 1960 criteria: lobes larger than the terminal phalanges of the thumb, or gland visible

in schoolage children, in areas of iodine deficiency

Study: Lancet. 2000 Jan 8;355(9198):106-10. PMID: 10675168

Palpable Thyroid
Duplicate Edit
80%29%

WHO 1994 criteria: thyroid at all palpable, or visible

in schoolage children, in areas of iodine deficiency

Study: Lancet. 2000 Jan 8;355(9198):106-10. PMID: 10675168