Hirsutism physical examination: Difference between revisions

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Revision as of 17:25, 9 October 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]: Associate Editor(s)-in-Chief: ; Rasam Hajiannasab M.D.[2]

Overview

Patients with hirsutism usually appear normal and in no acute distress. The degree of hirsutism can be estimated using the Ferriman-Gallwey score.

Physical Examination

General

Patients with hirsutism usually appear normal and in no acute distress. The degree of hirsutism can be estimated using the Ferriman-Gallwey score.^[1]

Appearance

Patients with hirsutism usually appear normal and in no acute distress.

Skin

generalized increase in growth of the hair on all of the body (hypertrichosis).^[1]
The skin of the abdomen may show striae in the cases of Cushing syndrome.

Neck

The neck is usually supple without any masses.

Lungs

The lungs are usually clear to auscultation.

Abdomen

Inspection may show central obesity if Cushing syndrome is present.^[2]
Palpation of the abdomen may reveal masses in the iliac fossae if PCO is the cause of hirsutism.

Heart

Auscultation of the heart reveals normal S1, S2, with no rubs, gallops, or murmurs.

Extremities

The extremities may show wasting in the cases of Cushing syndrome.

Neurologic

Patient is usually oriented to time, person, and place with average motor and sensory functions.

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

↑ ^1.0 ^1.1 Rosenfield, Robert L. (2005). "Hirsutism". New England Journal of Medicine. 353 (24): 2578–2588. doi:10.1056/NEJMcp033496. ISSN 0028-4793.
↑ Hunter MH, Carek PJ (2003). "Evaluation and treatment of women with hirsutism". Am Fam Physician. 67 (12): 2565–72. PMID 12825846.
↑ http://picasaweb.google.com/mcmumbi/USMLEIIImages/

[Rosenfield2005-1] 1.0 ^1.1 Rosenfield, Robert L. (2005). "Hirsutism". New England Journal of Medicine. 353 (24): 2578–2588. doi:10.1056/NEJMcp033496. ISSN 0028-4793.

[pmid12825846-2] Hunter MH, Carek PJ (2003). "Evaluation and treatment of women with hirsutism". Am Fam Physician. 67 (12): 2565–72. PMID 12825846.

[3] ttp://picasaweb.google.com/mcmumbi/USMLEIIImages/

[1]

[2]

[3]

@@ Line 4: / Line 4: @@
 ==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.
+Patients with hirsutism usually appear normal and in no acute distress. The degree of hirsutism can be estimated using the [[Ferriman-Gallwey score]].
 ==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 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>
-There is a scoring system which is called  Ferriman–Gallwey scale, which quantitates the extent of hair growth in the most [[androgen]]-sensitive sites and patients with a score of 8 or more ,would be considered a hirstue .<ref name="Rosenfield2005">{{cite journal|last1=Rosenfield|first1=Robert L.|title=Hirsutism|journal=New England Journal of Medicine|volume=353|issue=24|year=2005|pages=2578–2588|issn=0028-4793|doi=10.1056/NEJMcp033496}}</ref>
+===General===
+Patients with hirsutism usually appear normal and in no acute distress. The degree of hirsutism can be estimated using the Ferriman-Gallwey score.<ref name="Rosenfield2005">{{cite journal|last1=Rosenfield|first1=Robert L.|title=Hirsutism|journal=New England Journal of Medicine|volume=353|issue=24|year=2005|pages=2578–2588|issn=0028-4793|doi=10.1056/NEJMcp033496}}</ref>
+===Appearance===
+*Patients with hirsutism usually appear normal and in no acute distress.
+===Skin===
+*generalized increase in growth of the hair on all of the body (hypertrichosis).<ref name="Rosenfield2005">{{cite journal|last1=Rosenfield|first1=Robert L.|title=Hirsutism|journal=New England Journal of Medicine|volume=353|issue=24|year=2005|pages=2578–2588|issn=0028-4793|doi=10.1056/NEJMcp033496}}</ref>
+*The skin of the abdomen may show striae in the cases of Cushing syndrome.
+===Neck===
+*The neck is usually supple without any masses.
+===Lungs===
+*The lungs are usually clear to auscultation.
+===Abdomen===
+*Inspection may show central obesity if Cushing syndrome is present.<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>
+*Palpation of the abdomen may reveal masses in the iliac fossae if PCO is the cause of hirsutism.
+===Heart===
+*Auscultation of the heart reveals normal S1, S2, with no rubs, gallops, or murmurs.
+===Extremities===
+*The extremities may show wasting in the cases of Cushing syndrome.
+===Neurologic===
+*Patient is usually oriented to time, person, and place with average motor and sensory functions.
 [[Image:hirsuitism (PCOS, Cushing's Syndrome, Phenytoin, Leydig Cell Tumor).jpg|thumb|left|hirsuitism  (PCOS, Cushing's Syndrome, Phenytoin, Leydig Cell Tumor)
@@ Line 51: / Line 69: @@
 ==References==
 {{Reflist|2}}
-[[Category:Needs content]]
-[[Category:Endocrinology]]
-[[Category:Integumentary system]]
-[[Category:Gynecology]]
-[[Category:Dermatology]]
-[[Category:Hair-related diseases]]
-{{WH}}
-{{WS}}