Multiple endocrine neoplasia type 2 physical examination: Difference between revisions
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{{CMG}}; {{AE}} {{Ammu}} | {{CMG}}; {{AE}} {{Ammu}} | ||
==Overview== | ==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, 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== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
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*[[Tachycardia]] may be present | *[[Tachycardia]] may be present | ||
=====Rhythm===== | =====Rhythm===== | ||
*The | *The [[pulse]] is irregularly irregular | ||
====Blood Pressure==== | ====Blood Pressure==== | ||
*Episodic [[hypertension]] may be present | *Episodic [[hypertension]] may be present | ||
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===Eyes=== | ===Eyes=== | ||
* Numerous yellowish-white, sessile, painless nodules on the [[sclera]] and eyelids. | * Numerous yellowish-white, sessile, painless nodules on the [[sclera]] and eyelids. | ||
* Dry | * Dry [[eye]]s may be present | ||
===Neck=== | ===Neck=== | ||
* [[Lymph nodes]] may be present | * [[Lymph nodes]] may be present | ||
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===Neurologic=== | ===Neurologic=== | ||
* Mental status may be altered | * Mental status may be altered | ||
* Anxiety may be present | * [[Anxiety]] may be present | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} |
Revision as of 16:39, 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
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