Endometrial hyperplasia physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Swathi Venkatesan, M.B.B.S.[2]

Overview

Patients with endometrial hyperplasia usually appear well. The clinical presentation for endometrial hyperplasia is the same as for endometrial carcinoma. Endometrial hyperplasia typically presents with abnormal uterine bleeding. It is most common in women who are perimenopausal or early postmenopausal. Endometrial Hyperplasia is common with increasing age in premenopausal women.

Physical Examination

Physical examination of patients with Endometrial Hyperplasia is usually normal.

Appearance of the Patient

• Patients with Endometrial Hyperplasia usually appear normal, but may also appear fatigued due to blood loss.

Vital Signs

• High-grade / low-grade fever
• Hypothermia / hyperthermia may be present
• Tachycardia with regular pulse or (ir)regularly irregular pulse
• Bradycardia with regular pulse or (ir)regularly irregular pulse
• Tachypnea / bradypnea
• Kussmal respirations may be present in _____ (advanced disease state)
• Weak/bounding pulse / pulsus alternans / paradoxical pulse / asymmetric pulse
• High/low blood pressure with normal pulse pressure / wide pulse pressure / narrow pulse pressure

Genitourinary

• There are few physical examination findings in women with endometrial cancer
• A pelvic examination should be performed to evaluate for other sources of abnormal bleeding, such as the vagina or cervix.
• The uterus and adnexa should be palpated for unusual masses.
• A pelvic/adnexal mass may be palpated
• Inflamed mucosa
• Vaginal discharge
• Abnormal physical examination findings may be suggestive of more advanced disease

Overview

Patients with endometrial hyperplasia usually appear well. Physical examination of patients with endometrial hyperplasia is usually not remarkable for any physical findings.

Physical Examination

• Patients with endometrial hyperplasia usually appear well.
• Physical examination of patients with endometrial hyperplasia is usually not remarkable for any physical findings.