Gynecomastia physical examination

Gynecomastia Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

• Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
• Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
• The presence of [finding(s)] on physical examination is diagnostic of [disease name].
• The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Physical Examination

Appearance of the Patient

• Patients with gynecomastia are usually well-appearing and asymptomatic.

Vital Signs

• vitally stable.

Skin

• Gynecomastia has no significant skin finding.

HEENT

• No significant findings.

Neck

• No significant findings.

Chest

• Breast enlargement
• Size of a nipple-areolar complex may be increased in some patients.
• Breast tenderness
• Glandular tissue is centrally located and usually bilateral.
• Gynecomastia can be differentiated from pseudo gynecomastia by placing the thumb and index finger on opposite sides of the breast and brought towards the nipple-areolar complex. Gynecomastia is diagnosed as firm, mobile mass located beneath the areola. Psedudogynecomastia doesn't have any discrete mass and thumb and index finger will not reach until they reach the nipple.

Lungs

• No significant finding.

Heart

• No significant finding.

Abdomen

• No significant finding.

Back

• No significant finding.

Genitourinary

• No significant finding.

Neuromuscular

• No significant finding.

Extremities

• No significant finding.