Graves' disease physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1],Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

Signs include tachycardia, stare, eyelid lag, proptosis, goiter, resting tremor, hyperreflexia, and warm, moist, and smooth skin.

Physical Examination

• Signs include tachycardia, stare, eyelid lag, proptosis, goiter, resting tremor, hyperreflexia, and warm, moist, and smooth skin.

• Rare findings (in <1% of patients) include localized dermopathy (i.e., pretibial myxedema) and thyroid acropachy (i.e., clubbing).
• Goiter (an enlarged thyroid gland, sometimes detectable as a swelling in the neck) and exophthalmos (protuberance of one or both eyes) may be seen in physical examination.

• 

  Pretibial myxedema (Grave's Disease)

• 

  Pretibial myxedema and acropachy of hyperthyroidism