Gynecomastia history and symptoms: Difference between revisions
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Common symptoms include: | Common symptoms include: | ||
*Breast tenderness | *Breast tenderness | ||
*Symptoms of chronic liver disease | *Symptoms of chronic liver disease (ascites, jaundice etc) | ||
*Symptoms of chronic kidney disease | *Symptoms of chronic kidney disease (persistent nausea, oliguria, fluid retention, fatigue etc) | ||
*Symptomsms of | *Symptomsms of hyperthyroidism (weight loss, tremors etc) | ||
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Revision as of 17:53, 14 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
The majority of patients with [disease name] are asymptomatic. OR The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
History and Symptoms
History
Age of onset
- Physiological gynecomastia has trimodal distribution occurring in neonatal, in pubertal age and in the elderly.[1][2]
- Pathological gynecomastia can occur at any age secondary to any condition causing increased free estrogen to androgen ratio.
Past Medical History
- Gynecomastia is associated with a past medical history of cirrhosis, chronic renal disease, hyperthyroidism, orchitis, trauma to testis or use of medications (eg, prescription medications, over-the-counter medications, recreational drugs).[3][4]
Social History
- Patients may have a history of use of illicit drugs or decrease in libido which might suggest hypogonadism.[5]
Common Symptoms
Common symptoms include:
- Breast tenderness
- Symptoms of chronic liver disease (ascites, jaundice etc)
- Symptoms of chronic kidney disease (persistent nausea, oliguria, fluid retention, fatigue etc)
- Symptomsms of hyperthyroidism (weight loss, tremors etc)
.
Less Common Symptoms
- Less common symptoms of [disease name] include
- [symptom 1]
- [symptom 2]
- [symptom 3]
- Complete history exam should include the following:
- Family history
- Developmental history
- Associated symptoms
- Detailed past medical history
- Careful drug history
References
- ↑ Niewoehner CB, Schorer AE (2008). "Gynaecomastia and breast cancer in men". BMJ. 336 (7646): 709–13. doi:10.1136/bmj.39511.493391.BE. PMC 2276281. PMID 18369226.
- ↑ Braunstein GD (2007). "Clinical practice. Gynecomastia". N Engl J Med. 357 (12): 1229–37. doi:10.1056/NEJMcp070677. PMID 17881754.
- ↑ Narula HS, Carlson HE (2014). "Gynaecomastia--pathophysiology, diagnosis and treatment". Nat Rev Endocrinol. 10 (11): 684–98. doi:10.1038/nrendo.2014.139. PMID 25112235.
- ↑ De Groot LJ, Chrousos G, Dungan K, Feingold KR, Grossman A, Hershman JM, Koch C, Korbonits M, McLachlan R, New M, Purnell J, Rebar R, Singer F, Vinik A, Swerdloff RS, Ng J. PMID 25905330. Vancouver style error: initials (help); Missing or empty
|title=(help) - ↑ Barros AC, Sampaio Mde C (2012). "Gynecomastia: physiopathology, evaluation and treatment". Sao Paulo Med J. 130 (3): 187–97. PMID 22790552.