Physical Exam & Lab Data -- Multiple Myxomas and Thyroid Cancer

PHYSICAL EXAMINATION & LABORATORY DATA

PHYSICAL EXAMINATION

• General Appearance: The patient had mild cushingoid appearance and was not in acute distress. Her height was 5 feet and 3 inches, her body weight was 159 pounds.
• Vital Signs: The patient's BP was 120/70, pulse was 80/min, and respiratory rate was 12/min.
• HEENT: She had a nonpalpable thyroid. Her pupils were equal, round, and reactive to light. Extraocular movements were intact. She had a left scleral nevi. She also had multiple mucosal nevi involving her lower lip and on her oral mucosal membranes. She was also noted to have mild hirsutism.
• Lungs: Her lungs were clear to auscultation.
• Cardiovascular: Regular rate and rhythm with a grade 2/6 systolic ejection murmur.
• Abdomen: Her abdomen was soft with multiple scars that were nontender. No hepatosplenomegaly.
• Skin: Her skin was somewhat tan.
• Extrameties: She had sweaty palms. She had no pedal edema. Her palms appeared to be puffy.
• Neurologic: She was hyperreflexic in her patellae and also in her knees. The rest of her examination was unremarkable.

Laboratory studies showed urine free cortisol 24 hours of 2298 ug/TV (normal=20-90) on 11/24/96, TSH of 16.2 on 11/24/96, and thyroglobulin of 588 on 11/20/96.

FINAL DIAGNOSIS