Multiple endocrine neoplasia type 2 physical examination: Difference between revisions
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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., | 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> | |||
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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. | ||
Revision as of 20:25, 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
-
![The patient had mucosal neuromas on the anterior third of her tongue. Note the bumpy/blubbery lips [1]](/images/4/4c/Mucosal_neuromas_in_MEN_2.jpg)
The patient had mucosal neuromas on the anterior third of her tongue. Note the bumpy/blubbery lips [1]
-
![On physical examination, she had goiter with large nodule in the right lobe of her thyroid gland.. [1]](/images/5/58/Neck_swelling.jpg)
On physical examination, she had goiter with large nodule in the right lobe of her thyroid gland.. [1]
![The patient had mucosal neuromas on the anterior third of her tongue. Note the bumpy/blubbery lips [1]](/index.php/File:Mucosal_neuromas_in_MEN_2.jpg)
![On physical examination, she had goiter with large nodule in the right lobe of her thyroid gland.. [1]](/index.php/File:Neck_swelling.jpg)
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
References
- ↑ 1.0 1.1 Shahnazari, Banafshe; Aghamaleki, Aria; Larijani, Bagher; Mohajeri Tehrani, Mohammad Reza; Rafati, Hasan; Babamahmoodi, Abdolreza (2012). "A Case of Multiple Endocrine Neoplasia Type 2B and Gangliomatosis of Gastrointestinal Tract". Case Reports in Medicine. 2012: 1–4. doi:10.1155/2012/491054. ISSN 1687-9627.