Secondary adrenal insufficiency physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
==Physical Examination== | |||
====Appearance==== | ====Appearance==== | ||
* The patient may be [[dehydrated]] and [[lethargic]]. | * The patient may be [[dehydrated]] and [[lethargic]]. | ||
===Vital Signs=== | |||
* [[Hypotension|Low blood pressure]] that falls further when standing ([[orthostatic hypotension]]) | * [[Hypotension|Low blood pressure]] that falls further when standing ([[orthostatic hypotension]]) | ||
* [[Cardiovascular collapse]] may be present | * [[Cardiovascular collapse]] may be present | ||
===Skin=== | |||
* There can be tanning of the skin. [[Tanning]] of the skin that may be patchy or even all over the body. Characteristic sites of tanning are skin creases (e.g. of the hands) and the inside of the cheek ([[buccal mucosa]]). | * There can be tanning of the skin. [[Tanning]] of the skin that may be patchy or even all over the body. Characteristic sites of tanning are skin creases (e.g. of the hands) and the inside of the cheek ([[buccal mucosa]]). | ||
* [[Vitiligo]] may also be present. | * [[Vitiligo]] may also be present. | ||
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* [[Pallor]] may be present. | * [[Pallor]] may be present. | ||
===Neck=== | |||
* [[Goitre]] may be present | * [[Goitre]] may be present | ||
Revision as of 12:52, 28 August 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Examination
Appearance
- The patient may be dehydrated and lethargic.
Vital Signs
- Low blood pressure that falls further when standing (orthostatic hypotension)
- Cardiovascular collapse may be present
Skin
- There can be tanning of the skin. Tanning of the skin that may be patchy or even all over the body. Characteristic sites of tanning are skin creases (e.g. of the hands) and the inside of the cheek (buccal mucosa).
- Vitiligo may also be present.
- Absence of axillary and pubic hair in females as a result of loss of adrenal androgens.
- Pallor may be present.
Neck
- Goitre may be present