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Gynecomastia Work-Up and Treatment Options

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This document presents the case of a 20-year-old Latino male with a 2-year history of unilateral, tender, enlarged left breast. It provides definitions of gynecomastia and pseudogynecomastia, discusses prevalence and etiologies. It outlines the workup, including history, exam, and labs. Treatment options discussed include watchful waiting, medications like tamoxifen or danazol, and surgery.

Salud y medicina
1 de 36
Gynecomastia September 29, 2004 Isabel Tejeda, MD
Case Presentation ,[object Object]
History of Present Illness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Past Medical History ,[object Object],[object Object],[object Object]
Medications ,[object Object],[object Object]
Family History ,[object Object],[object Object],[object Object],[object Object]
Social History ,[object Object],[object Object],[object Object]
Health Related Habits ,[object Object]
Physical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Questions? ,[object Object],[object Object],[object Object]
Definition of Gynecomastia ,[object Object],[object Object],[object Object]
Prevalence ,[object Object],[object Object],[object Object],[object Object]
 
Etiologies in patients seeking help for Gynecomastia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathophysiologic Causes for Gynecomastia ,[object Object],[object Object],[object Object]
Absolute increase in free estrogen ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Decreased endogenous free androgens ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Specific Pathogeneses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Specific Pathogeneses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Specific Pathogeneses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Specific Pathogeneses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Specific Pathogeneses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Work-up ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Work-up ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Work-up ,[object Object],[object Object],[object Object]
 
Treatment Options ,[object Object],[object Object],[object Object]
Treatments ,[object Object],[object Object],[object Object],[object Object]
Treatments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Androgens ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antiestrogens ,[object Object],[object Object],[object Object],[object Object]
Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Back to Case Presentation ,[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object]

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