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 presents with hypothyroidism. The physical examination findings in hypothyroidism are:
Appearance of the Patient
- Patients with hypothyroidism usually appear fatigued.
Vital Signs
Skin
- Dry skin
- Coarse hair
Head
- Puffy face
- Dull facial expression
Respiratory
Heart
- Decreased systolic blood pressure
- Increased diastolic blood pressure
- Pericardial effusion
- S3 gallop
Neurologic
- Slowed speech
- Slowed reflexes
- Ataxia