Hirsutism physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
When a female patient presents with the chief complaint of increased growth of hair, it is imperative to see whether the coarse hairs are localized in male distribution or there is generalized increase in growth of the hair on all of the body (hypertrichosis).[9,10] After determining hirsutism, the follwing steps can be undertaken to find the cause. | When a female patient presents with the chief complaint of increased growth of hair, it is imperative to see whether the coarse hairs are localized in male distribution or there is generalized increase in growth of the hair on all of the body (hypertrichosis).[9,10] After determining hirsutism, the follwing steps can be undertaken to find the cause.<ref name="pmid12825846">{{cite journal |vauthors=Hunter MH, Carek PJ |title=Evaluation and treatment of women with hirsutism |journal=Am Fam Physician |volume=67 |issue=12 |pages=2565–72 |year=2003 |pmid=12825846 |doi= |url=}}</ref> | ||
Complete general physical and systemic examination should be done including palpation of abdomen for any ovarian mass.[[Image:hirsuitism (PCOS, Cushing's Syndrome, Phenytoin, Leydig Cell Tumor).jpg|thumb|left|hirsuitism (PCOS, Cushing's Syndrome, Phenytoin, Leydig Cell Tumor) | Complete general physical and systemic examination should be done including palpation of abdomen for any ovarian mass.[[Image:hirsuitism (PCOS, Cushing's Syndrome, Phenytoin, Leydig Cell Tumor).jpg|thumb|left|hirsuitism (PCOS, Cushing's Syndrome, Phenytoin, Leydig Cell Tumor) | ||
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Overview
One method of evaluating hirsutism is the Ferriman-Gallwey score which gives a score based on the amount and location of hair growth on a woman.
Physical Examination
When a female patient presents with the chief complaint of increased growth of hair, it is imperative to see whether the coarse hairs are localized in male distribution or there is generalized increase in growth of the hair on all of the body (hypertrichosis).[9,10] After determining hirsutism, the follwing steps can be undertaken to find the cause.[1]
Complete general physical and systemic examination should be done including palpation of abdomen for any ovarian mass.
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| Upper abdomen | 0-4 |
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References
- ↑ Hunter MH, Carek PJ (2003). "Evaluation and treatment of women with hirsutism". Am Fam Physician. 67 (12): 2565–72. PMID 12825846.
- ↑ http://picasaweb.google.com/mcmumbi/USMLEIIImages/
- ↑ "oup.silverchair-cdn.com".
