She is anxious with visible hand tremors. Her skin is warm, moist, and smooth without lesions or depigmentation. Eye exam reveals exophthalmos, lid lag, proptosis and poor pupillary convergence bilaterally. The thyroid is diffusely enlarged, nontender and symmetrical with a bruit on ausculation. No nodules, masses or jugular venous distention noted.
Lungs are clear to auscultation.
Without masses or striae. Extremities are warm, moist, without cyanosis or edema. All rights reserved.