Age, gender, general comfort
Heart rate, blood pressure, resp rate, temp
Alert, oriented, confused, obtunded
Weight gain ( ↓ ) / loss ( ↑ ), BMI, shape
Anxiety ( ↑ ),mental slowness ( ↓ )
Onycholysis ( ↑ / ↓ ), peripheral cyanosis ( ↓ )
Increased soft tissue in distal phalanges (Graves)
Tachycardia ( ↑ ) / bradycardia ( ↓ ), rhythm
For thoracic outlet obstruction - retrosternal goitre
Patient lifts arms as high as possible for 1 min, look for facial congestion and cyanosis
Reduced ( ↓ ) / normal / hyper-reflexive ( ↑ )
Alopecia ( ↑ )
Pigmentation ( ↑ ), thickening ( ↑ )
Exophthalmos (Graves)
Lid retraction ( ↑ ), lid lag ( ↑ )
Periorbital oedema ( ↓ ), loss of outer 1/3 of eyebrow ( ↓ )
Swelling of tongue ( ↓ )
Scars, veins, erythema, swelling, swallow
Size, shape, nodules, thrill, fixation, consistency
Upper part of manubrium
Over each lobe for bruits
Systolic flow murmur ( ↑ ), crackles, pericardial / pleural rub
Stridor, crackles, pleural rub
Bilateral, firm, elevated dermal nodules
