Pulses

Careful examination of both upper and lower limb pulses is useful in detecting coarctation, and other arterial stenosis. The carotid arteries should be checked for stenosis and bruit.

Fundus

A detailed fundus examination would show the changes upon which grading of the intensity of hypertension can be made.

General

In general examination, one should look for:

• Oedema: suggestive of heart failure and renal failure.

• Round face, truncal obesity, bufallo hump: in Cushing's syndrome.

• Obesity, rough skin, bradycardia, puffy face: in myxoedema.

• Tremors, exophthalmos: in thyrotoxicosis.