Follicular thyroid cancer physical examination

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

Patients with follicular thyroid cancer usually appear thin and cachectic. Physical examination of patients with follicular thyroid cancer is usually remarkable for thyromegaly, lymphadenopathy, and anxiety.

• Patient may be thin and cachectic

• Fever

• Tachycardia

• Irregularly-irregular pulse

• Hypertension

• Tachypnea

• Moist, warm skin

• Numerous yellowish-white, sessile, painless nodules on the sclera and eyelids
• Dry eyes may be present

• Lymphadenopathy
• Thyromegaly
• Dysphagia

• Pulmonary examination of patients with follicular thyroid cancer is usually normal.

• A thrill may be present

• Abdominal examination of patients with follicular thyroid cancer is usually normal.

• Back examination of patients with follicular thyroid cancer is usually normal.

• Genitourinary examination of patients with follicular thyroid cancer is usually normal.

• Mental status may be altered
• Anxiety

• Extremities examination of patients with follicular thyroid cancer is usually normal.

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