Multiple endocrine neoplasia type 2 physical examination: Difference between revisions

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Latest revision as of 22:46, 30 May 2019

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 with 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 and thin. The patient may have "marfanoid" body build with disproportionately elongated extremities.

Vitals

Fever

Tachycardia

The pulse is irregularly irregular

Episodic hypertension

Tachypnea

Skin

Swelling of neck

HEENT

Numerous yellowish-white, sessile, painless nodules on the sclera and eyelids
Dry eyes may be present
Lymph nodes
Thyromegaly
Dysphagia

Heart

A thrill may be present

Neurologic

References

Template:WikiDoc Sources

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-{{ Multiple endocrine neoplasia type 2}}
+{{Multiple endocrine neoplasia type 2}}
 {{CMG}}; {{AE}} {{Ammu}}
 ==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]].
+Patients with multiple endocrine neoplasia type 2 usually appear tall with 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, "[[Marfan syndrome|marfanoid]]" body build with disproportionately elongated extremities
+* Patient may be tall and thin. The patient may have "[[Marfan syndrome|marfanoid]]" body build with disproportionately elongated extremities.
 ===Vitals===
-====Temperature====
+*[[Fever]]
-*A [[fever]] is often present
-====Pulse====
+*[[Tachycardia]]
-=====Rate=====
-*[[Tachycardia]] may be present
-=====Rhythm=====
 *The [[pulse]] is irregularly irregular
-====Blood Pressure====
-*Episodic [[hypertension]] may be present
+*Episodic [[hypertension]]
-====Respiratory Rate====
-*[[Tachypnea]] may be present
+*[[Tachypnea]]
 ===Skin===
-* Lesions may be present
+* Swelling of neck
-===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 <ref>"http://www.hindawi.com/journals/crim/2012/491054/</ref>
-Image:Neck swelling.jpg|On physical examination, she had goiter with large nodule in the right lobe of her thyroid gland.. <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>
+===HEENT===
-</gallery>
-===Eyes===
+* Numerous yellowish-white, sessile, painless nodules on the [[sclera]] and eyelids
-* Numerous yellowish-white, sessile, painless nodules on the [[sclera]] and eyelids.
 * Dry [[eye]]s may be present
-===Neck===
+* [[Lymph nodes]]
-* [[Lymph nodes]] may be present
+* [[Thyromegaly]]
-* [[Thyromegaly]] may be present
+* [[Dysphagia]]
-* [[Dysphagia]] may be present
 ===Heart===
 *A [[thrill]] may be present
 ===Neurologic===
-* Mental status may be altered
+* [[Altered mental status]]
-* [[Anxiety]] may be present
+* [[Anxiety]]
 ==References==
 {{reflist|2}}
-[[Category:Endocrine system]]
-[[Category:Genetic disorders]]
 [[Category:Endocrinology]]
+[[Category:Oncology]]
+[[CAtegory:Diseases]]
+[[Category:Medicine]]
+[[Category:Endocrinology]]
+[[Category:Up-To-Date]]
 {{WikiDoc Help Menu}}
 {{WikiDoc Sources}}
+ [[Category:Up-To-Date]]
+[[Category:Oncology]]
+[[Category:Medicine]]
+[[Category:Endocrinology]]
+[[Category:Surgery]]