Table 1.

Physical examination for thyrotoxicosis via telemedicine (patient at home)

Readily obtained	Limited or not possible via telemedicine
Pulse	Cardiac exam
Hyperkinesis	Mild diffuse goiter
Visibly enlarged goiter—smooth or irregular	Subtle nodularity
Thyroid tenderness (guide patient to self-palpate)	Thyroid bruit
Tremor	Subtle orbitopathy findings
Stare
Extraocular movements
Proptosis
Pitting edema (guide patient to palpate and demonstrate)
Prominent pretibial or preradial myxedema
Psychiatric exam including affect, mood, judgment