examination of the thyroid status

-Observe the general composure:

normal, hyperactive, fidegty,restless.

-Examine the hand:

shake hand with the patient,observe sweaty hand

check the pulse:brady/tachycardia, AF

Look for thyroid acropachy(swallon fingers,clubbing,perioteal new bone formation), palmer  erythema.

Assess for fine tremers of out streched arm.

-Examine the eyes:

observe from top and side

led lag/retraction

eye movement.

-Examine the shin:

pretibial myxedema

-Check for proximal myopathy

-Check reflexes.

-Finish by asking the patient about:

temp preference

wt loss with increase apetite

bowel habits

palpitations