Multiple endocrine neoplasia type 2 physical examination

Multiple endocrine neoplasia type 2 Microchapters
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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 pules is irregularly irregular

Blood Pressure

• Episodic hypertension may be present

Respiratory Rate

• Tachypnea may be present

Skin

• Lesions may be present

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