What should be included in the physical exam of gynecomastia?

Updated: Mar 22, 2018
  • Author: George Ansstas, MD; Chief Editor: George T Griffing, MD  more...
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Physical examination should include the following:

  • Thorough examination of the breasts, with attention to size and consistency

  • Assessment for any nipple discharge or axillary lymphadenopathy

  • Testing to differentiate between true gynecomastia and pseudogynecomastia

  • Assessment of glandular tissue

  • Examination of the testicles, with attention to size and consistency, as well as nodules or asymmetry

  • Observation of any signs of feminization

  • Checking for any stigmata of chronic liver disease, thyroid disease, or renal disease

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