Multiple endocrine neoplasia type 2 physical examination: Difference between revisions
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* 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 | ||
* [[Lymph nodes]] | * [[Lymph nodes]] | ||
* [[Thyromegaly]] | * [[Thyromegaly]] | ||
* [[Dysphagia]] | * [[Dysphagia]] | ||
<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 [Image courtesy: Banafshe Shahnazari et al.] <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.[Image courtesy: Banafshe Shahnazari et al.] <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> | |||
===Heart=== | ===Heart=== |
Revision as of 14:40, 25 October 2017
Multiple endocrine neoplasia type 2 Microchapters |
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
- The pulse is irregularly irregular
- Episodic hypertension
Skin
- Swelling of neck
HEENT
- Numerous yellowish-white, sessile, painless nodules on the sclera and eyelids
- Dry eyes may be present
- Lymph nodes
- Thyromegaly
- Dysphagia
-
The patient had mucosal neuromas on the anterior third of her tongue. Note the bumpy/blubbery lips [Image courtesy: Banafshe Shahnazari et al.] [1]
-
On physical examination, she had goiter with large nodule in the right lobe of her thyroid gland.[Image courtesy: Banafshe Shahnazari et al.] [1]
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.