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Exophthalmos physical examination

Introduction

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Overview

Overview

Physical Examination

Physical Examination

Appearance of the Patient

Eyes

  • 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.

Ear Nose and Throat

  • Full otolaryngologic exam

Neurologic

  • Full neurologic exam
Reference

Reference

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