Patient looks well and not agitated.

Look at the hands if dry/moist, temperature, palmar erythema, acropachy

Look at the neck for distended veins scars lesions, then swallow and notice thyroid
movement then protrude tongue then do pemberton's sign, then note any tremor in
hand.

Palpate the skull, spine for mets, then let patient look up and then palpate for
temperature then thyroid, then carotid, then lymph nodes. Berry's sign of
impalpable carotid

You only percuss if you suspect retrosternal thyroid

Auscultate thyroid then ausculate cardiovascular

Then do CNS H and convergence methids

Check for pretibial mxedema and jerks

Do ENT exam because some cancers metastasize to thyroid from face.