Polycystic ovary syndrome physical examination: Difference between revisions
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{{Polycystic ovary syndrome}} | {{Polycystic ovary syndrome}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{ADG}} | ||
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==Overview== | ==Overview== | ||
Patients with polycystic ovary syndrome usually appear [[obese]]. The physical examination findings of PCOS include signs of [[Androgen|androgen excess]], [[insulin resistance]], and the presence of unopposed [[estrogen]]. | |||
==Physical Examination== | ==Physical Examination== | ||
The physical examination findings of PCOS include signs of [[androgen]] excess, [[insulin resistance]], and the presence of unopposed [[estrogen]].<ref name="pmid9536213">{{cite journal |vauthors=Rosenfield RL |title=Current concepts of polycystic ovary syndrome |journal=Baillieres Clin Obstet Gynaecol |volume=11 |issue=2 |pages=307–33 |year=1997 |pmid=9536213 |doi= |url=}}</ref><ref name="pmid9429864">{{cite journal |vauthors=Goudas VT, Dumesic DA |title=Polycystic ovary syndrome |journal=Endocrinol. Metab. Clin. North Am. |volume=26 |issue=4 |pages=893–912 |year=1997 |pmid=9429864 |doi= |url=}}</ref><ref name="pmid18844713">{{cite journal |vauthors=Rosenfield RL |title=What every physician should know about polycystic ovary syndrome |journal=Dermatol Ther |volume=21 |issue=5 |pages=354–61 |year=2008 |pmid=18844713 |doi=10.1111/j.1529-8019.2008.00217.x |url=}}</ref> | |||
=== General appearance === | |||
Patients with PCOS may appear [[obese]] and [[tired]].<ref name="pmid16085166">{{cite journal |vauthors=Buggs C, Rosenfield RL |title=Polycystic ovary syndrome in adolescence |journal=Endocrinol. Metab. Clin. North Am. |volume=34 |issue=3 |pages=677–705, x |year=2005 |pmid=16085166 |pmc=3477606 |doi=10.1016/j.ecl.2005.04.005 |url=}}</ref> | |||
===Vital Signs=== | ===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. | 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=== | ===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=== | ===Abdomen=== | ||
Patients with polycystic ovarian syndrome (PCOS) have [[abdominal obesity]]. | |||
==References== | ==References== | ||
Latest revision as of 17:51, 1 November 2017
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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. The physical examination findings of PCOS include signs of androgen excess, insulin resistance, and the presence of unopposed estrogen.
Physical Examination
The physical examination findings of PCOS include signs of androgen excess, insulin resistance, and the presence of unopposed estrogen.[1][2][3]
General appearance
Patients with PCOS may appear obese and tired.[4]
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 (1997). "Current concepts of polycystic ovary syndrome". Baillieres Clin Obstet Gynaecol. 11 (2): 307–33. PMID 9536213.
- ↑ Goudas VT, Dumesic DA (1997). "Polycystic ovary syndrome". Endocrinol. Metab. Clin. North Am. 26 (4): 893–912. PMID 9429864.
- ↑ Rosenfield RL (2008). "What every physician should know about polycystic ovary syndrome". Dermatol Ther. 21 (5): 354–61. doi:10.1111/j.1529-8019.2008.00217.x. PMID 18844713.
- ↑ Buggs C, Rosenfield RL (2005). "Polycystic ovary syndrome in adolescence". Endocrinol. Metab. Clin. North Am. 34 (3): 677–705, x. doi:10.1016/j.ecl.2005.04.005. PMC 3477606. PMID 16085166.