Euthyroid sick syndrome physical examination

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

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.

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:^[1][2][3]

• Patients with hypothyroidism usually appear fatigued.

• Bradycardia
• Hypotension
• Hypothermia

• Dry skin
• Coarse hair

• Puffy face
• Coarse facial expression

• Bradypnea
• Dyspnea

• Decreased systolic blood pressure
• Increased diastolic blood pressure
• Pericardial effusion
• S3 gallop

• Slowed speech
• Slowed reflexes
• Ataxia

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