Multiple endocrine neoplasia type 1 physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [3]
Overview
Common physical examination findings of multiple endocrine neoplasia type 1 include rash, lymphadenopathy, fever and abdominal mass.
Physical Examination
Appearance of the Patient
- The general appearance of patients with multiple endocrine neoplasia type 1 range from normal appearance to obese, thin, and cachectic. Patient appearance largely depends on the manifestations of the syndrome.[1]
Vitals
- A fever is often present
- Tachycardia may be present
- The pulse is regular
- Tachypnea may be present
Skin
- Skin eruption of red patches with irregular borders, intact and ruptured vesicles, and crust formation
Eyes
- Nystagmus may be present
- Extra-ocular movements may be abnormal
Ears
- Hearing acuity may be reduced
- Weber test
- Rinne test
Neck
- Jugular venous pressure may be elevated
- Lymphadenopathy
Abdomen
- Abdominal tenderness may be present
- An abdominal mass may be present
Extremities
- Edema may be present
Neurologic
- Mental status may be altered
- Clonus may be present