Introduces self
0
1

Confirms name & age of patient
0
1

Explains & gains consent
0
1

Asks about duration and changes to lump
0
1

Asks about other lumps or travel
0
1

Asks for impact on life
0
1

Asks if breathing/swallowing affected
0
1

Asks about temperature, weight, bowel habits
0
1

Washes hands
0
1

Exposes patient from waist up
0
1

Asks if patient is in pain
0
1

General inspection around bed & patient for body habitus, clothing, medication
0
1

Examines nails for acropachy and palms for warmth and sweat
0
1

Feels pulse
0
1

Checks for tremor
0
1

Inspects for hair changes, loss of the eyebrow, exophthalmos, chemosis & hair changes
0
1

Checks for ophthalmoplegia
0
1

Checks for lid lag and lid retraction
0
1

Comments on site, colour
0
1

Asks patient to sip water whilst looking at lump
0
1

Asks patient to stick out tongue
0
1

Palpates and asks if tender
0
1

Palpates for shape, size, surface, consistency, depressibility, pulsatility
0
1

Describes edge, temperature, mobility
0
1

Looks inside mouth and comments on tonsillar size
0
1

Percusses for retrosternal goitre and comments
0
1

Auscultates lump
0
1

Assesses proximal lymph nodes
0
1

Assesses for deviation of trachea, JVP/carotid
0
1

Checks reflexes. Asks patient to stand without using their arms to assess for proximal myopathy
0
1

Thanks patient and offers help to redress
0
1

Washes hands
0
1

Requests thyroid hormone profile and ultrasound of thyroid
0
1

Summarises appropriately with only key findings
0
1

Offers appropriate differential diagnoses
0
1

Patient global score
0
1
2