Multiple endocrine neoplasia type 2 physical examination: Difference between revisions
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===Skin=== | ===Skin=== | ||
* Lesions may be present | * Lesions may be present | ||
===Head=== | |||
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Image:Mucosal neuromas in MEN 2.jpg|The patient had mucosal neuromas on the anterior third of her tongue. Note the bumpy/blubbery lips., From the case <ref>"http://www.hindawi.com/journals/crim/2012/491054/</ref> | |||
Image:Neck swelling.jpg| Herpes simplex. <SMALL><SMALL>''http://www.hindawi.com/journals/crim/2012/491054/''Banafshe Shahnazari, Aria Aghamaleki, Bagher Larijani, Mohammad Reza Mohajeri Tehrani, Hasan Rafati, and Abdolreza Babamahmoodi, “A Case of Multiple Endocrine Neoplasia Type 2B and Gangliomatosis of Gastrointestinal Tract,” Case Reports in Medicine, vol. 2012, Article ID 491054, 4 pages, 2012. doi:10.1155/2012/491054<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=182> | |||
===Eyes=== | ===Eyes=== | ||
* Numerous yellowish-white, sessile, painless nodules on the [[sclera]] and eyelids. | * Numerous yellowish-white, sessile, painless nodules on the [[sclera]] and eyelids. |
Revision as of 20:20, 28 September 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]
Overview
Patients with multiple endocrine neoplasia type 2 usually appear tall, thin and disproportionately elongated extremities. Physical examination of patients with multiple endocrine neoplasia type 2 is usually remarkable for episodic hypertension, thyromegaly, and anxiety.
Physical Examination
Appearance of the Patient
- Patient may be tall, thin, "marfanoid" body build with disproportionately elongated extremities
Vitals
Temperature
- A fever is often present
Pulse
Rate
- Tachycardia may be present
Rhythm
- The pulse is irregularly irregular
Blood Pressure
- Episodic hypertension may be present
Respiratory Rate
- Tachypnea may be present
Skin
- Lesions may be present
Head
<gallery> Image:Mucosal neuromas in MEN 2.jpg|The patient had mucosal neuromas on the anterior third of her tongue. Note the bumpy/blubbery lips., From the case [1]
Image:Neck swelling.jpg| Herpes simplex. http://www.hindawi.com/journals/crim/2012/491054/Banafshe Shahnazari, Aria Aghamaleki, Bagher Larijani, Mohammad Reza Mohajeri Tehrani, Hasan Rafati, and Abdolreza Babamahmoodi, “A Case of Multiple Endocrine Neoplasia Type 2B and Gangliomatosis of Gastrointestinal Tract,” Case Reports in Medicine, vol. 2012, Article ID 491054, 4 pages, 2012. doi:10.1155/2012/491054<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=182>
Eyes
- Numerous yellowish-white, sessile, painless nodules on the sclera and eyelids.
- Dry eyes may be present
Neck
- Lymph nodes may be present
- Thyromegaly may be present
- Dysphagia may be present
Heart
- A thrill may be present
Neurologic
- Mental status may be altered
- Anxiety may be present