Exophthalmos physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: John Fani Srour, M.D.

• Full optomologic exam
• Boston’s sign: spasmodic lowering of the upper eyelid on downward rotation of the eye, indicating exophthalmic goiter.
• Stellwag’s sign: infrequent or incomplete blinking associated with exophthalmos or Graves orbitopathy.
• Von Graefe’s sign: immobility or lagging of the upper eyelid on downward rotation of the eye, indicating exophthalmic goiter.

• Full otolaryngologic exam

• Full neurologic exam