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Hirsutism physical examination

Introduction

Overview

Overview

Patients with hirsutism usually appear normal and in no acute distress. The degree of hirsutism can be estimated using the Ferriman-Gallwey score.

Physical Examination

Physical Examination

General

Patients with hirsutism usually appear normal and in no acute distress. The degree of hirsutism can be estimated using the Ferriman-Gallwey score.[1]

Appearance

  • Patients with hirsutism usually appear normal and in no acute distress.

Skin

  • generalized increase in growth of the hair on all of the body (hypertrichosis).[1]
  • The skin of the abdomen may show striae in the cases of Cushing syndrome.
Upper lip 0-4
Chin 0-4
Chest 0-4
Leg 0-4
Thigh 0-4
Upper arm 0-4
Forearm 0-4
Upper back 0-4
Lower back 0-4
Upper abdomen 0-4
Lower abdomen 0-4
A patient with Cushing disease and hirsutism – By Ozlem Celik, Mutlu Niyazoglu, Hikmet Soylu and Pinar Kadioglu – http://mrmjournal.biomedcentral.com/articles/10.1186/2049-6958-7-26, CC BY 2.5, https://commons.wikimedia.org/w/index.php?curid=47877333

Neck

  • The neck is usually supple without any masses.

Lungs

  • The lungs are usually clear to auscultation.

Abdomen

  • Inspection may show central obesity if Cushing syndrome is present.[2]
  • Palpation of the abdomen may reveal masses in the iliac fossae if PCO is the cause of hirsutism.

Heart

  • Auscultation of the heart reveals normal S1, S2, with no rubs, gallops, or murmurs.

Extremities

  • The extremities may show wasting in the cases of Cushing syndrome.

Neurologic

  • Patient is usually oriented to time, person, and place with average motor and sensory functions.
References

References

  1. ↑ 1.0 1.1 Rosenfield, Robert L. (2005). “Hirsutism”. New England Journal of Medicine. 353 (24): 2578–2588. doi:10.1056/NEJMcp033496. ISSN 0028-4793.
  2. ↑ Hunter MH, Carek PJ (2003). “Evaluation and treatment of women with hirsutism”. Am Fam Physician. 67 (12): 2565–72. PMID 12825846.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]: Associate Editor(s)-in-Chief: ; Rasam Hajiannasab M.D.[2], Ahmed Younes M.B.B.CH [3]