Hirsutism physical examination: Difference between revisions

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==Overview==
==Overview==

Revision as of 16:05, 22 September 2017

Hirsutism Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Hirsutism from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Echocardiography or Ultrasonography

Treatment

Medical Therapy

Pharmacological therapy
Non-pharmacological therapy

Surgery

Primary Prevention

Secondary Prevention

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Case #1

Hirsutism physical examination On the Web

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

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]

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 .[2]

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

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