hello there thank you for letting me examine you today this is your thyroid examination,
so just sit naturally, I'm just going to observe
take some notes
okay could you hold out your hands like this please?
have a look at the fingers
and the other side
good bring the hands close together now
I'm going to rest this sheet of paper on top
just hold it there for me please
okay and relax
okay turn the hands over for me please
Palms
and relax
okay just give me your wrist, the pulse
on the other side
okay just let your arms go floppy on your lap, i'm going to tap along the arm
good
okay just relax let me have a look at your face and a feel of the eyebrows
looking for any loss
have you noticed any loss of your eyebrows on the outer portion?
and the forehead now
little feel there
have you noticed any double vision?
have you been diagnosed with any dry eyes?
do you use any ocular lubricants?
okay and observe the eyes
looking for any bulging or lid retraction
let's turn to the side
and to the other side
okay let's do a follow the target, follow the tip of my finger just with your eyes,
do you see one or two?
one or two?
was there any double vision?
okay I'm just going to look at your neck more closely
take a sip of water, hold it in the mouth, don't swallow until I tell you to
and swallow
okay stick your tongue out please
okay just relax, I'm going to have a feel of the neck
okay I'm just going to stand behind you and have another feel of the neck and the windpipe,
just relax
just take another sip of water, don't swallow until I tell you to
and swallow
okay I'm just going to move a little bit further down the neck, it might be a little bit uncomfortable
I'm just going to have a little tap on the neck
i'm just going to have a listen on the neck
breathe in and hold it
and out, breathe normally
okay I want to look at your shins, now just roll up your trousers for me please
okay one final thing, I would like you to cross your arms and stand up for me please
Okay and sit back down, thank you
okay that concludes the thyroid examination, everything seems within normal limits but
I'm just going to refer you for some routine blood checks okay?
so that's everything I'll see you again in the clinic next time