Multiple endocrine neoplasia type 2 physical examination

Multiple endocrine neoplasia type 2 Microchapters
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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. 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

• Altered mental status
• Anxiety

References

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