Woltman’s sign on Physical Exam - Hi-Res .mp4 version here: https://www.grepmed.com/images/1324 53-year-old man presented with fatigue and sensitivity to cold. A physical examination showed delayed relaxation of the ankle jerk reflex — Woltman’s sign — and laboratory evaluation confirmed a diagnosis of primary hypothyroidism. Woltman’s sign, which refers to the delayed relaxation phase of a deep-tendon reflex, is a neurologic manifestation of hypothyroidism. This delayed relaxation can also be associated with pregnancy, anorexia nervosa, diabetes mellitus, and advanced age.
