Hand and upper extremities | Heart rate, ABP, tremor, collapsing pulse, warmth, hyperhydrosis, and palmar erythema |
Upper and lower extremity | Signs of proximal myopathy (ask the patient to raise the arm above head), and arm reflexes |
Eyes | Lid lag, lid retraction, exopthalmus, opthalmoplegia, chemosis |
Chest | Gynecomastia, heart murmurs |
Legs | Pretibial myxedema, proximal myopathy, and reflexes |
Thyroid exam |
Inspection:
Inspect the front and sides Carefully inspect the Inspect the neck while Check for neck scars Check for dilated veins front and from behind the patient (gland and/or lump): Size Consistency:soft, firm, Tenderness Shape Surface Mobility Check for thrill Palpate the cervical lymph Check the trachea's |
Percussion: over the manubrium Auscultation: listen for bruit on each lobe of the thyroid gland Pemberton's sign: plethora when the patient lifts both arms as high as possible, which indicates thoracic inlet obstruction |