Acromegaly physical examination: Difference between revisions
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*The presence of [finding(s)] on physical examination is highly suggestive of [disease name]. | *The presence of [finding(s)] on physical examination is highly suggestive of [disease name]. | ||
==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with acromegaly usually appear tired. | *Patients with acromegaly usually appear tired. | ||
===Vital Signs=== | ===Vital Signs=== | ||
*Hypertension | *Hypertension | ||
===Skin=== | ===Skin=== | ||
*Thickening of the skin | *Thickening of the skin | ||
*Skin tags | *Skin tags | ||
*Acne | |||
*Acanthosis nigricans | *Acanthosis nigricans | ||
*Hyperhidrosis | *Hyperhidrosis | ||
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*Diastolic and systolic dysfunction | *Diastolic and systolic dysfunction | ||
*Arrhythmias | *Arrhythmias | ||
*Cardiomyopathy | |||
===Back=== | ===Back=== | ||
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*Carpal tunnel syndrome | *Carpal tunnel syndrome | ||
=== | ===Genitourinary=== | ||
* | *In females:<ref name="IulianoLaws2014">{{cite journal|last1=Iuliano|first1=Sherry L.|last2=Laws|first2=Edward R.|title=Recognizing the clinical manifestations of acromegaly: Case studies|journal=Journal of the American Association of Nurse Practitioners|volume=26|issue=3|year=2014|pages=136–142|issn=23276886|doi=10.1002/2327-6924.12076}}</ref> | ||
* | **Amenorrhea | ||
* | **Galactorrhea | ||
* | *In males:<ref name="IulianoLaws2014">{{cite journal|last1=Iuliano|first1=Sherry L.|last2=Laws|first2=Edward R.|title=Recognizing the clinical manifestations of acromegaly: Case studies|journal=Journal of the American Association of Nurse Practitioners|volume=26|issue=3|year=2014|pages=136–142|issn=23276886|doi=10.1002/2327-6924.12076}}</ref> | ||
* | **Sexual dysfunction | ||
**Loss of libido | |||
**Gynecomastia | |||
==References== | ==References== | ||
Revision as of 15:53, 4 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
- Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
- Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
- The presence of [finding(s)] on physical examination is diagnostic of [disease name].
- The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
Appearance of the Patient
- Patients with acromegaly usually appear tired.
Vital Signs
- Hypertension
Skin
- Thickening of the skin
- Skin tags
- Acne
- Acanthosis nigricans
- Hyperhidrosis
-
Description Template:Acanthosis nigricans in the axilla
HEENT
- Abnormalities of the head include frontal bossing
- Acral enlargement
- Visual deficits
- Hearing acuity may be reduced
- Facial tenderness
- Headache
- Prognathism
Lungs
- Obstruction of the upper airways
- Obstructive sleep apnea
Heart
- Ventricular hypertrophy
- Diastolic heart failure (the most common cause of death)
- Diastolic and systolic dysfunction
- Arrhythmias
- Cardiomyopathy
Back
- Vertebral fractures
Neuromuscular
- Patient is usually oriented to persons, place, and time
- Osteopenia
- Osteoarthritis
- Joints effusion, swelling, and crepitus
- Acromegaly rosary: hypertrophy of the ribs and costochondral junction enlargement in the chest wall.[1]
- Muscle weakness
- Joint stiffness in late cases
- Malocclusion of patient jaw associated with temporomandibular joint tenderness
- Kyphoscoliosis[2]
- Paresthesia
- Cranial nerves palsy
- Carpal tunnel syndrome
Genitourinary
References
- ↑ Ibbertson HK, Manning PJ, Holdaway IM, Gamble G, Synek BJ (1991). "The acromegalic rosary". Lancet. 337 (8734): 154–6. PMID 1670798.
- ↑ Molitch ME (1992). "Clinical manifestations of acromegaly". Endocrinol Metab Clin North Am. 21 (3): 597–614. PMID 1521514.
- ↑ 3.0 3.1 Iuliano, Sherry L.; Laws, Edward R. (2014). "Recognizing the clinical manifestations of acromegaly: Case studies". Journal of the American Association of Nurse Practitioners. 26 (3): 136–142. doi:10.1002/2327-6924.12076. ISSN 2327-6886.