Hirsutism physical examination

Hirsutism Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Hirsutism from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

MRI

Echocardiography or Ultrasonography

Treatment

Medical Therapy

Pharmacological therapy

Non-pharmacological therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Hirsutism physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Hirsutism physical examination

CDC on Hirsutism physical examination

Hirsutism physical examination in the news

Blogs on Hirsutism physical examination

Directions to Hospitals Treating Hirsutism physical examination

Risk calculators and risk factors for Hirsutism physical examination

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[edit | edit source]

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[edit | edit source]

### General[edit | edit source]

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[edit | edit source]

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

### Skin[edit | edit source]

* 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[edit | edit source]

* The neck is usually supple without any masses.

### Lungs[edit | edit source]

* The lungs are usually clear to auscultation.

### Abdomen[edit | edit source]

* 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[edit | edit source]

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

### Extremities[edit | edit source]

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

### Neurologic[edit | edit source]

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

## References[edit | edit source]

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.