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]
Overview
The physical examination findings of myxedema coma will reveal the characteristic signs of hypothyroidism, and not being able to obtain patient's history, it is often very useful to search for of other signs that guide the diagnosis of myxedema coma such as a cervical scar (history of thyroid surgery), vitiligo, hyperpigmentation, ophthalmopathy.
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