Polycystic ovary syndrome physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with polycystic ovary syndrome usually appear obese. | Patients with polycystic ovary syndrome usually appear obese. During the physical examination, it is essential to search for and document signs of androgen excess (hirsutism, virilization, or both), insulin resistance (acanthosis nigricans, Fig. 17-28 ), and the presence of unopposed estrogen action (well-rugated vagina and stretchable, clear cervical mucus) to support the diagnosis of PCOS. <ref name="pmid25840648">{{cite journal |vauthors=Rosenfield RL |title=The Polycystic Ovary Morphology-Polycystic Ovary Syndrome Spectrum |journal=J Pediatr Adolesc Gynecol |volume=28 |issue=6 |pages=412–9 |year=2015 |pmid=25840648 |pmc=4387116 |doi=10.1016/j.jpag.2014.07.016 |url=}}</ref> | ||
==Physical Examination== | ==Physical Examination== | ||
Revision as of 13:59, 3 August 2017
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Differentiating Polycystic ovary syndrome from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Patients with polycystic ovary syndrome usually appear obese. During the physical examination, it is essential to search for and document signs of androgen excess (hirsutism, virilization, or both), insulin resistance (acanthosis nigricans, Fig. 17-28 ), and the presence of unopposed estrogen action (well-rugated vagina and stretchable, clear cervical mucus) to support the diagnosis of PCOS. [1]
Physical Examination
Patients with PCOS appear obese and tired
Vital Signs
Patients with polycystic ovary syndrome may have elevated blood pressure, with a systolic blood pressure of 130 mm Hg or higher and a diastolic blood pressure of 85 mm Hg or higher.
Skin
- Hyperpigmentation of the skin at the nape of the neck, axillae, area beneath the breasts, and exposed areas.
- Excessive body hair in a male distribution pattern
- Acne
Abdomen
Patients with polycystic ovarian syndrome (PCOS) have abdominal obesity.
References
- ↑ Rosenfield RL (2015). "The Polycystic Ovary Morphology-Polycystic Ovary Syndrome Spectrum". J Pediatr Adolesc Gynecol. 28 (6): 412–9. doi:10.1016/j.jpag.2014.07.016. PMC 4387116. PMID 25840648.