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Is there clitoral enlargement or other signs of virilism? These findings would suggest an ovarian tumor, an adrenal tumor or hyperplasia, chromosome mosaicism, and true hermaphroditism, which is rare.
Is there obesity? The presence of ... DIAGNOSTIC WORKUP
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The etiology and significance of hirsutism depend on whether the patient is hirsute only (excessive hair), or if he/she is also virilized (increased weight, clitoromegaly, acne, deep voice). Polycystic ovarian syndrome (PCOS) is a very common cause; the incidence may be as... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The vast majority of women presenting to the clinician with excessive hair on the face or body are normal healthy females. Nevertheless, one should be alert to the pathologic consequences of this symptom.
Anatomy is the best basic science to use in
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... Weight gain occurs when ingested calories exceed body requirements for energy, causing increased adipose tissue storage. It can also occur when fluid retention causes edema. When weight gain results from overeating, emotional factors — most commonly... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Weight loss can reflect decreased food intake, decreased food absorption, increased metabolic requirements, or a combination of the three. Its causes include endocrine, neoplastic, GI, and psychiatric disorders; nutritional deficiencies; infections;... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Anorexia, malnutrition
Drugs
Minoxidil
Corticosteroids
Androgenic steroids
 
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... Regular rhythm at normal rates
Normal sinus rhythm
Accelerated junctional rhythm
Accelerated idioventricular rhythm
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... A distressing disorder usually found in women and children, hirsutism is the excessive growth of body hair, typically in an adult male distribution pattern. This condition commonly occurs spontaneously but may also develop as a secondary disorder... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Hirsutism is the excessive growth of coarse body hair in females. Excessive production of androgens (male hormones) stimulates hair growth on the pubic region, axillae, chin, upper lip, cheeks, anterior neck, sternum, linea alba, forearms, upper arms, abdomen, and back. This... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Alopecia usually develops gradually and affects the scalp; it may be diffuse or patchy and can be classified as scarring or nonscarring. Scarring alopecia (permanent hair loss) results from hair follicle destruction, which smoothes the skin surface, erasing follicular openings.... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Weight gain occurs when ingested calories exceed body requirements for energy, causing increased adipose tissue storage. It can also occur when fluid retention causes edema. When weight gain results from overeating, emotional factors—most commonly anxiety, guilt,... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Weight loss can reflect decreased food intake, decreased food absorption, increased metabolic requirements, or a combination of the three. It may be caused by endocrine, neoplastic, GI, and psychiatric disorders; nutritional deficiencies; infections; or neurologic lesions that cause... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Richard D. Blondell
The growth of terminal hair (long, coarse hair) in areas other than the scalp and eyebrows is dependent on androgens. Different hair follicles have varying degrees of sensitivity to androgens. Axillary and pubic hair follicles... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment ... Pictures
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... Differential Overview
Alopecia
❑ Androgenetic
❑ Telogen effluvium
❑ Drugs/hair loss
❑ Anagen... Diagnostic Approach ... Clinical Findings
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... Differential Overview
❑ Tachypnea
❑ Paroxysmal nocturnal dyspnea
❑ Sleep apnea
❑ Cheyne-Stokes
❑ Kussmaul
&... Clinical Findings
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... Differential Overview
Figurate
❑ Tinea corporis
❑ Urticaria
❑ Erysipelas
❑ Erythema migrans ... Diagnostic Approach ... Clinical Findings ... Pictures
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... Hirsutism is the excessive growth of coarse body hair in females. Excessive androgen (male hormone) production stimulates hair growth on the pubic region, axillae, chin, upper lip, cheeks, anterior neck, sternum, linea alba, forearms, abdomen,... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Weight gain occurs when ingested calories exceed body requirements for energy, causing increased adipose tissue storage. It can also occur when fluid retention causes edema. When weight gain results from overeating, emotional factors — most commonly anxiety, guilt, and depression ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Weight loss can reflect decreased food intake, decreased food absorption, increased metabolic requirements, or a combination of the three. Its causes include endocrine, neoplastic, GI, and psychiatric disorders; nutritional deficiencies; infections;... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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...Hair loss (alopecia) from the scalp is commonin children. May be congenital or acquired, localized or diffuse. Principal Causes of Hair Loss Congenitalhair loss Localized Nevussebaceous of Jadassohn Aplasia cutis congenita Congenital ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Weight gain occurs when ingested calories exceed body requirements for energy, causing increased adipose tissue storage. It can also occur when fluid retention causes edema. When weight gain results from overeating, emotional factors—most commonly anxiety,... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... Weight loss can reflect decreased food intake, decreased food absorption, increased metabolic requirements, or a combination of the three. Its causes include endocrine, neoplastic, GI, and psychiatric disorders; nutritional deficiencies; infections; and neurologic lesions that cause... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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The vast majority of women presenting to the clinician with excessive
hair on the face or body are normal and healthy. Nevertheless, one should be
alert to the pathologic consequences of this symptom.
Anatomy is the best basic science to use in recalling... Pictures
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