Examination of the Neck (Including Thyroid)

General Inspection

• Over- or underweight?
• Tremor
• Agitation
• Sweating
• Hair loss

Hands

• Tremor (paper)
• Warmth
• Palmar erythema
• Muscle wasting
• Moisture
• Onycholysis
• Thyroid acropachy (Graves)
• Radial pulse (tachycardia, bradycardia, irregular)

Face

• Hair loss of outer part of eyebrows
• Puffy face
• Waxy skin
• Pallor

Eyes

• Exopthalmos
• Lid lag
• Eye movements - opthamloplegia

Neck

• Scarring?
• Asymmetry?
• Swellings? - Midline? Protrude tongue? Swallow water. Location, Size, Consistency, Mobility, Tenderness.
• Thyroid
• Cricoid
• Isthmus of thyroid
• Lobes of thyroid - sip of water?
  
• Cervical lymph nodes
• Percussion - retrosternal goitre
• Auscultation - thyroid bruits

Reflexes

• Hyper reflexia