Examination | Possible Condition |
---|---|
General | |
Tall stature | Kleinfleter syndrome |
Long arms | Kleinfelter syndrome |
Absence of body hair | Adrenal disease |
Hyperpigmentation | Adrenal disease |
Obesity | Impaired testosterone and high estrogen |
HEENT | |
Bitemporal hemianopsia | Pituitary adenoma |
Goiter | Thyroid disease |
Anosmia | Kallman syndrome |
Chest | |
Gynecomastia | Kleinfelter syndrome or HPG axis defect |
Buffalo hump | Adrenal disease |
Respiratory rhales and crackles | Cystic fibrosis or ciliac disease |
Abdomen | |
Surgical scars in the pelvis | Possible nerve damage or vasal damage |
Inguinal scars | Vasal obstruction |
Striae | Adrenal disease |
Truncal obesity | Adrenal disease |
Hepatomegaly | Liver disease |
Genitals | |
Penile lesions | Possible STD, which impacts fertility |
Inguinal adenopathy | Possible infection or malignancy |
Impalpable vas deferens | Possible CBAVD or cystic fibrosis |
Vas deferens nodularity | Possible vasal obstruction |
Varicocele | Impairs fertility |
Scrotal scars | Possible testicular or vasal injury |
Epididymitis, prostatitis | Active infection can impair fertility |
CBAVD, congenital absence of the vas deferens; HEENT, head, ears, eyes, nose, and throat; HPG, hypothalamic-pituitary-gonadal; STD, sexually transmitted disease.