Euthyroid sick syndrome physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]

Overview

There are no specific physical examination findings associated with euthyroid sick syndrome. The physical examination findings in each patient depends upon the underlying cause of euthyroid sick syndrome such as sepsis, myocardial infarction, pneumonia, chronic renal failure and cirrhosis.

Physical Examination

There are no specific physical examination findings associated with euthyroid sick syndrome. The physical examination findings in each patient depends upon the underlying cause of euthyroid sick syndrome such as sepsis, myocardial infarction, pneumonia, chronic renal failure and cirrhosis. However, euthyroid sick syndrome leads to hypothyroidism. The physical examination findings in hypothyroidism are:\

Appearance of the Patient

• Patients with hypothyroidism usually appear fatigued.

Vital Signs

• Bradycardia
• Hypotension
• Hypothermia

Skin

• Dry skin
• Coarse hair

Head

• Puffy face
• Dull facial expression

Respiratory

• Bradypnea

Heart

• Decreased systolic blood pressure
• Increased diastolic blood pressure
• Pericardial effusion
• S3 gallop

Neurologic

• Slowed speech
• Slowed reflexes
• Ataxia