Multinodular goitre over right thyroid lobe: A Case Report

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Ms. Rupal S. Kambale, Mrs. Arundhatee Gawande, Mr. Aniket Pathade, BhushanBawankar

Abstract

Introduction: A goitre is just an enlarged thyroid gland. A goitre can be either a simple goitre, in which the entire thyroid is larger than normal, or a multinodular goitre, in which several nodules are present. A toxic multinodular goitre (one that produces too much thyroid hormone and causes hyperthyroidism) or a benign multinodular goitre (one that does not induce hyperthyroidism). or non-toxic (i.e. does not make too much thyroid hormone). In most cases, the etiology of multinodular goitre is unknown, but iodine deficiency (a lack of iodine in the diet) and some hereditary variables have been linked to the development of the condition.


Presenting complaints and investigation: Patient complaint that swelling over the neck , redness from 1 year. 10×13 cm swelling present over the anterior surfaced of  neck ,skin over swelling red and edematous on sinus fistula discharge. All inspection  findings confirm 10×13 cm firm in consistency, tenderness, patient move with deglutition. Change in colour red and edematous. No discharge was noted. After a physical examination and investigation, the doctor diagnosed the patient with multinodular goitre over right thyroid lobe over and he was treated with nonsteroidal anti-inflammatory medicines.

Therapeutic intervention: After a physical examination and investigation, the doctor diagnosed the patient with multinodular goiter, and he was treated with nonsteroidal anti-inflammatory medicines.


  Outcome- To minimise infection, the patient was given medications as prescribed by the doctor, including ibuprofen. In addition, the patient's condition improved as a result of the medical treatment. The patient's problems had subsided, and he was in better shape.

Nursing perspective: Administered fluid replacement ie.DNS and RL. Monitor vital signs and Checked BP per hourly. Maintained intake and output chart and provided adequate rest and sleep to the patient. Administered medications according to doctor’s order. Hydrotherapy given because patient had fever.


Conclusion- The patient was admitted to the A.V.B.R.H. with swelling on neck and pain the patient received all necessary treatment and medicine. The condition of the patient had improved.

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