Multiple endocrine neoplasia type 2 physical examination: Difference between revisions

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{{ Multiple endocrine neoplasia type 2}}
{{Multiple endocrine neoplasia type 2}}
{{CMG}}; {{AE}} {{Ammu}}
{{CMG}}; {{AE}} {{Ammu}}


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==Physical Examination==
==Physical Examination==
===Appearance of the Patient===
===Appearance of the Patient===
* Patient may be tall and thin. Patient may have "[[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===
===Vitals===
====Temperature====
*[[Fever]]
*[[Fever]]


====Pulse====
=====Rate=====
*[[Tachycardia]]
*[[Tachycardia]]


=====Rhythm=====
*The [[pulse]] is irregularly irregular
*The [[pulse]] is irregularly irregular


====Blood Pressure====
*Episodic [[hypertension]]  
*Episodic [[hypertension]]  


====Respiratory Rate====
*[[Tachypnea]]
*[[Tachypnea]] may be present


===Skin===
===Skin===
* Swelling of neck
* Swelling of neck


===Head===
===HEENT===
<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 <ref name="ShahnazariAghamaleki2012">{{cite journal|last1=Shahnazari|first1=Banafshe|last2=Aghamaleki|first2=Aria|last3=Larijani|first3=Bagher|last4=Mohajeri Tehrani|first4=Mohammad Reza|last5=Rafati|first5=Hasan|last6=Babamahmoodi|first6=Abdolreza|title=A Case of Multiple Endocrine Neoplasia Type 2B and Gangliomatosis of Gastrointestinal Tract|journal=Case Reports in Medicine|volume=2012|year=2012|pages=1–4|issn=1687-9627|doi=10.1155/2012/491054}}</ref>
Image:Neck swelling.jpg|On physical examination, she had goiter with large nodule in the right lobe of her thyroid gland.. <SMALL><SMALL>''<ref name="ShahnazariAghamaleki2012">{{cite journal|last1=Shahnazari|first1=Banafshe|last2=Aghamaleki|first2=Aria|last3=Larijani|first3=Bagher|last4=Mohajeri Tehrani|first4=Mohammad Reza|last5=Rafati|first5=Hasan|last6=Babamahmoodi|first6=Abdolreza|title=A Case of Multiple Endocrine Neoplasia Type 2B and Gangliomatosis of Gastrointestinal Tract|journal=Case Reports in Medicine|volume=2012|year=2012|pages=1–4|issn=1687-9627|doi=10.1155/2012/491054}}</ref>
</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
* Dry [[eye]]s may be present
===Neck===
* [[Lymph nodes]]  
* [[Lymph nodes]]  
* [[Thyromegaly]]  
* [[Thyromegaly]]  
* [[Dysphagia]]  
* [[Dysphagia]]


===Heart===
===Heart===
Line 50: Line 36:


===Neurologic===
===Neurologic===
* Mental status may be altered
* [[Altered mental status]]
* [[Anxiety]]  
* [[Anxiety]]


==References==
==References==
{{reflist|2}}
{{reflist|2}}
 
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Latest revision as of 22:46, 30 May 2019

Multiple endocrine neoplasia type 2 Microchapters

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Overview

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Differentiating Multiple endocrine neoplasia type 2 from other Diseases

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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 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

  • The pulse is irregularly irregular

Skin

  • Swelling of neck

HEENT

Heart

Neurologic

References

​​


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