Hirsutism physical examination: Difference between revisions

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==Physical Examination==
==Physical Examination==
When a female patient presents with the chief complaint of increased growth of hair, it is imperative to see whether the coarse hairs are localized in male distribution or there is generalized increase in growth of the hair on all of the body (hypertrichosis).[9,10] After determining hirsutism, the follwing steps can be undertaken to find the cause.<ref name="pmid12825846">{{cite journal |vauthors=Hunter MH, Carek PJ |title=Evaluation and treatment of women with hirsutism |journal=Am Fam Physician |volume=67 |issue=12 |pages=2565–72 |year=2003 |pmid=12825846 |doi= |url=}}</ref>
When it comes to the physical examination of a woman complaining of unwanted hair the most important part in  to see whether the coarse hairs are localized in male distribution or there is generalized increase in growth of the hair on all of the body ([[hypertrichosis]]). After determining hirsutism a complete physical and systematic should be done to gain more undressing about the underlying causes. [[Palpation]] of [[abdomen]] is very important to search for possible [[ovarian mass]]<nowiki/>es .<ref name="pmid12825846">{{cite journal |vauthors=Hunter MH, Carek PJ |title=Evaluation and treatment of women with hirsutism |journal=Am Fam Physician |volume=67 |issue=12 |pages=2565–72 |year=2003 |pmid=12825846 |doi= |url=}}</ref>


Complete general physical and systemic examination should be done including palpation of abdomen for any ovarian mass.[[Image:hirsuitism (PCOS, Cushing's Syndrome, Phenytoin, Leydig Cell Tumor).jpg|thumb|left|hirsuitism  (PCOS, Cushing's Syndrome, Phenytoin, Leydig Cell Tumor)
[[Image:hirsuitism (PCOS, Cushing's Syndrome, Phenytoin, Leydig Cell Tumor).jpg|thumb|left|hirsuitism  (PCOS, Cushing's Syndrome, Phenytoin, Leydig Cell Tumor)
  <ref>http://picasaweb.google.com/mcmumbi/USMLEIIImages/</ref>]]                                                                                                          [[Image:dmr04202.gif]]<ref name="urloup.silverchair-cdn.com">{{cite web |url=https://oup.silverchair-cdn.com/oup/backfile/Content_public/Journal/humupd/18/2/10.1093/humupd/dmr042/2/dmr04202.gif?Expires=1505503837&Signature=YNA1iDXSklTyJBYsNtKSfrrHw2cz4yxRQ1-~56gRM2krKI~~heM-nwS9fP0Ip5HO7SNWEGIk1iXcO8cuS-ZGQScsFqHsMcJkvyYz9pzBA5NTMVnxZyDsuh9BWOym4aFC0bPB7gA9LcuoL7lnTvbo9hj7bWhQEWH2gYsrYikGEG8HnPaplCHCCgcA33b0PB2h1T5IxFLh0IjR8oe2zZrAfVl6CYcvfekd04WOEfJVL1zs86a5w~u7UejPqAicAiu-zA58zb2EcGljxArckvsEmrF6vcTdUyA8i-pxBZbohlXtie8Jrqw9wVIUfADKzLEqXxEr8FRzvcPg31Ne5l1sOA__&Key-Pair-Id=APKAIUCZBIA4LVPAVW3Q |title=oup.silverchair-cdn.com |format= |work= |accessdate=}}</ref>                     
  <ref>http://picasaweb.google.com/mcmumbi/USMLEIIImages/</ref>]]                                                                                                          [[Image:dmr04202.gif]]<ref name="urloup.silverchair-cdn.com">{{cite web |url=https://oup.silverchair-cdn.com/oup/backfile/Content_public/Journal/humupd/18/2/10.1093/humupd/dmr042/2/dmr04202.gif?Expires=1505503837&Signature=YNA1iDXSklTyJBYsNtKSfrrHw2cz4yxRQ1-~56gRM2krKI~~heM-nwS9fP0Ip5HO7SNWEGIk1iXcO8cuS-ZGQScsFqHsMcJkvyYz9pzBA5NTMVnxZyDsuh9BWOym4aFC0bPB7gA9LcuoL7lnTvbo9hj7bWhQEWH2gYsrYikGEG8HnPaplCHCCgcA33b0PB2h1T5IxFLh0IjR8oe2zZrAfVl6CYcvfekd04WOEfJVL1zs86a5w~u7UejPqAicAiu-zA58zb2EcGljxArckvsEmrF6vcTdUyA8i-pxBZbohlXtie8Jrqw9wVIUfADKzLEqXxEr8FRzvcPg31Ne5l1sOA__&Key-Pair-Id=APKAIUCZBIA4LVPAVW3Q |title=oup.silverchair-cdn.com |format= |work= |accessdate=}}</ref>                     
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Revision as of 17:44, 15 September 2017

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

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Overview

One method of evaluating hirsutism is the Ferriman-Gallwey score which gives a score based on the amount and location of hair growth on a woman.

Physical Examination

When it comes to the physical examination of a woman complaining of unwanted hair the most important part in to see whether the coarse hairs are localized in male distribution or there is generalized increase in growth of the hair on all of the body (hypertrichosis). After determining hirsutism a complete physical and systematic should be done to gain more undressing about the underlying causes. Palpation of abdomen is very important to search for possible ovarian masses .[1]

hirsuitism (PCOS, Cushing's Syndrome, Phenytoin, Leydig Cell Tumor) [2]

[3]

Upper lip 0-4
Chin 0-4
Chest 0-4
Leg 0-4
Thigh 0-4
Upper arm 0-4
Forearm 0-4
Upper back 0-4
Lower back 0-4
Upper abdomen 0-4
Lower abdomen 0-4

References

  1. Hunter MH, Carek PJ (2003). "Evaluation and treatment of women with hirsutism". Am Fam Physician. 67 (12): 2565–72. PMID 12825846.
  2. http://picasaweb.google.com/mcmumbi/USMLEIIImages/
  3. "oup.silverchair-cdn.com".

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