Multiple endocrine neoplasia type 2 physical examination: Difference between revisions

	Multiple endocrine neoplasia type 2 Microchapters
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Latest revision as of 22:46, 30 May 2019

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. The patient may have "marfanoid" body build with disproportionately elongated extremities.

Vitals

Fever

Tachycardia

The pulse is irregularly irregular

Episodic hypertension

Tachypnea

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

Heart

A thrill may be present

Neurologic

References

Template:WikiDoc Sources

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 * [[Thyromegaly]]
 * [[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===