Graves' disease physical examination

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

Some of the physical examination findings in Graves’ disease include tachycardia, stare, eyelid lag, proptosis, goiter, resting tremor, hyperreflexia, and a warm, moist, and smooth skin.

• Signs include tachycardia, stare, eyelid lag, proptosis, goiter, resting tremor, hyperreflexia, and warm, moist, and smooth skin. ^[1]

• Rare findings (in <1% of patients) include localized dermopathy (i.e., pretibial myxedema) and thyroid acropachy (i.e., clubbing).
• Goiter (an enlarged thyroid gland, sometimes detectable as a swelling in the neck) and exophthalmos (protuberance of one or both eyes) may be seen on physical examination.

• 
  Pretibial myxedema (Grave’s Disease)
• 
  Pretibial myxedema and acropachy of hyperthyroidism

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