Multiple endocrine neoplasia type 2 physical examination
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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., From the case [1]
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