[Teaching Aim]
- Conduct a physical examination of a goiter
- Be familiar with pattern identification and treatment of goiter; and understand the definition and characteristics of goiter [Teaching Content]
1.Definition and classification
2.Relationship between goiter and Zang Fu organs/meridians
3.Physical examination of goiter
4.Etiology, pathogenesis and treatment of goiter [Teaching Method]
Multimedia lecture.
Qi Goiter [Teaching Aim]
- Understand the differences between endemic and non-endemic Qi goiter, and its etiology [Teaching Content]
1. Overview: definition and clinical characteristics
2. Etiology and pathogenesis:emotional disturbance, dietary factors, disharmony between the chong and ren channels
3. Clinical manifestations: a diffuse enlargement below the thyroid cartilage in the front part of the neck, size of the goiter usually changes with emotions.
4. Treatment:Soothe the liver, regulate qi and soften the lumps
5. Prevention and lifestyle [Teaching Method]
Multimedia lecture
Flesh Goiter [Teaching Aim]
- Master the pattern identification of flesh goiter
- Understand the differences from other thyroid lumps [Teaching Content]
1.Overview: definition and clinical characteristics
2. Etiology and pathogenesis: Anxiety, repressed anger, qi stagnation, turbid-phlegm or stagnant blood may all contribute to a flesh goiter.
3. Clinical manifestations: soft, oval movable lumps appearing below the thyroid cartilage, move vertically upon swallowing and grow slowly.
4. Differential diagnosis: Differ from thyroglossal cysts
5. Treatment: Regulate qi, resolve phlegm and soften the lumps, supplement qi, nourish yin and soften or resolve lumps [Teaching Method]
Multimedia lecture.
Acute thyroditis [Teaching Aim]
- Master the pattern identification and treatment of acute thyroiditis
1. Concept: Characteristics and onset of disease
2. Etiology and pathogenesis: Pathogenic wind-warmth or wind-heat, liver qi stagnation with stomach-heat
3. Clinical manifestations: associated with upper respiratory tract infection, a sudden and painful swelling in the anterior neck
4. Treatment: Remove wind, clear heat, resolve phlegm and relieve swelling; Smooth the liver, regulate qi and resolve phlegm. [Teaching Method]
Multimedia lecture.
Stone Goiter - Multimedia teaching [Teaching Aim
- Master the characteristics of stone goiter [Teaching Content]
1. Overview: Definition and clinical characteristicss
2. Etiology and pathogenesis: qi stagnation, phlegm-dampness and blood stagnation may contribute to stone goiters.
3. Clinical manifestations:The lump is solid and immobile with an uneven surface or even a sense of restriction on swallowing.
4. Treatment: Surgery is the first priority for this pattern. Internal therapy is to relieve stagnation, resolve phlegm and circulate to blood to soften lumps. [Teaching Method]
Self-study.
