Hirsutism physical examination
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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]
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
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 |
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.