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| __NOTOC__
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| {{Multiple endocrine neoplasia type 1}}
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| {{CMG}}; {{AE}} {{Ammu}}
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| ==Overview==
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| ==Physical Examination==
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| ===Appearance of the Patient===
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| *This section should give a general description of what a patient with the disease you are describing may look like. You may include a physical description such as obese, thin, cachectic, well appearing, ill appearing, diaphoretic etc.
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| * For an example of the appearance of a patient section in the physical examination page, click [[Encephalopathy physical examination#Appearance of the Patient|here]].
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| ===Vitals===
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| ====Temperature====
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| *A [[fever]] is often present
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| *[[Hypothermia]] may be present
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|
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| ====Pulse====
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| =====Rate=====
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| *[[Tachycardia]] may be present
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| *[[Bradycardia]] may be present
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| =====Rhythm=====
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| *The pulse is regular
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| *The pules is irregularly irregular
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| =====Strength=====
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| *The pulse may be weak
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| *The pulse may be bounding
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| *The pulse may be alternating in strength ([[pulsus alternans]])
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| *A [[paradoxical pulse]] may be present
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|
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| =====Symmetry=====
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| *The pulses may be asymmetric
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| ====Blood Pressure====
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| * [[Hypertension]] may be present
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| *A [[wide pulse pressure]] may be present
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| *A [[narrow pulse pressure]] may be present
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|
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| ====Respiratory Rate====
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| *[[Tachypnea]] may be present
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| *[[Bradypnea]] may be present
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| * [[Kussmaul respirations]] may be present
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|
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| ===Skin===
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| *[[Cyanosis]] may be present
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| *[[Jaundice]] may be present
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| * A rash may be present
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| * [[Pallor]] may be present
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| * Lesions may be present
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| <gallery widths=150px>
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| UploadedImage-01.jpg | Description {{dermref}}
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| UploadedImage-02.jpg | Description {{dermref}}
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| </gallery>
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|
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| ===Head===
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| * Abnormalities of the head/hair may include ___
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| * There may be evidence of trauma
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|
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| ===Eyes===
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| *Icteric sclera may be present
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| * [[Nystagmus]] may be present.
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| * Extra-ocular movements may be abnormal
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| *Pupils may not react to light
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| *Ophthalmoscopic exam may be abnormal with findings of ___
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|
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| ===Ears===
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| * Hearing acuity may be reduced
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| *[[Weber test]] may be positive
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| *[[Rinne test]] may be positive
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| * There may be [[exudate]] from the ear canal
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| * There may be [[tenderness]] on movement of the pinnae
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|
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| ===Nose===
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| * Nares may be inflamed
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| * There may be [[epistaxis]]
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| * There may be [[purulent]] exudate from the nares
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| * There may be [[tenderness]] to percussion of the sinuses
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| * The nares may be congested
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|
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| ===Throat===
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| * The throat may be erythematous
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| * There may be [[exudate]] in the throat
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| * There may be [[petechiae]] seen in the throat
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| * There may be tonsillar inflammation
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|
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| ===Neck===
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| *[[Jugular venous pressure]] may be elevated
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| *[[Carotid bruits]] may be present
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| *[[Lymph nodes]] may be present
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| *[[Thyromegaly]] may be present
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| *[[Hepatojugular reflux]] may be present
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|
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| ===Lungs===
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| *[[Pulmonary edema]] and [[rales]] may be present
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| *[[Wheezing]] may be present
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| *Consolidation may be present with reduced breath sounds auscultated
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| *[[Rales]] may be present
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| *[[Egophony]] may be present
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| * Chest movement may be assymetric
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|
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| ===Heart===
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| *A [[heave]] may be present
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| *A [[thrill]] may be present
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| *A [[friction rub]] may be present
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| * Shortened QT interval.
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| ====Auscultation====
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| *[[Heart sounds#First heart tone S1, the "lub"(components M1 and T1)|S1]]
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| *[[Heart sounds#Second heart tone S2 the "dub"(components A2 and P2)|S2]]
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| *[[Heart sounds#Third heart sound S3|S3]]
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| *[[Heart sounds#Fourth heart sound S4|S4]]
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| *[[Heart sounds#Summation Gallop|Gallops]]
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| *A [[systolic murmur]] best heard at the base may be present
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| *A [[systolic murmur]] best heard at the apex may be present
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| *A [[diastolic murmur]] may be present
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| ===Abdomen===
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| *[[Abdominal distention]] may be present
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| *[[Abdominal tenderness]] may be present
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| *[[Rebound tenderness]] may be present
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| *An [[acute abdomen]] may be present
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| *An abdominal mass may be present
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| *Guarding may be present
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| *[[Hepatomegaly]] may be present
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| *[[Splenomegaly]] may be present
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| *Genitourinary exam if relevant
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|
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| ===Extremities===
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| *[[Clubbing]] may be present
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| *[[Cyanosis]] may be present
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| *[[Edema]] may be present
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| ===Neurologic===
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| * Mental status may be altered
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| * Glasgow coma scale is ___
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| * Clonus may be present
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| * Hyperactive reflexes may be present
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| * There are deficits in cranial nerves ___
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