Wednesday 26 September 2012

OSCE practice - Endocrine Examination


  • Overall appearance
  • Height, weight, and nutritional status
  • Blood pressure (including postural measurements)
  • Neck - look for goitre
  • Thyroid status
  • Eyes - look for exophthalmos, Graves' eye disease
  • Visual fields - pituitary tumours
  • Secondary sexual characteristics and testicular examination
  • Skin and hair - pigmentation, bruising, telangiectasia, acne
  • Urine - check for glucose, protein, Beta-human chorionic gonadotrophin


Overall appearance (i.e. spot diagnosis), e.g. acromegaly, Graves' disease, should be assessed
All clinical 'systems' may be involved in endocrine disorders
Full examination of all systems is expected
Certain parts of the examination may be discriminatory in diagnosis

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