Myxedema coma physical examination

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

Physical examination

General appearance

• Altered mentation

Vitals

• Hyperventilation
• Hypothermia
• Hypotension—late
• Bradycardia

Skin

• Dry, cool, doughy skin
• Alopecia
• Coarse, sparse hair

Gastrointestinal

• Decreased Bowel sounds
• Abdominal distension
• Fecal impaction

HEENT

• Myxedematous face
• Macroglossia
• Ptosis
• Periorbital edema

Extremities

Nonpitting edema

Neurology

• Decreased reflexes
• LOC