Multiple endocrine neoplasia type 2 physical examination: Difference between revisions
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===Neurologic=== | ===Neurologic=== | ||
* | * [[Altered mental status]] | ||
* [[Anxiety]] | * [[Anxiety]] | ||
==References== | ==References== | ||
Revision as of 16:45, 5 October 2017
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Multiple endocrine neoplasia type 2 Microchapters |
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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. Patient may have "marfanoid" body build with disproportionately elongated extremities.
Vitals
Temperature
Pulse
Rate
Rhythm
- The pulse is irregularly irregular
Blood Pressure
- Episodic hypertension
Respiratory Rate
Skin
- Swelling of neck
Head
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![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]
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![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
Heart
- A thrill may be present
Neurologic
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.