TABLE 22-26
| TABLE 22-26. FINDINGS ON PHYSICAL EXAMINATION | |
| PHYSICAL FINDINGS | RELEVANCE |
General features | |
Obesity | Obesity-related hypertension |
Moonface, buffalo hump, striae | Cushing syndrome |
Webbed neck, low hairline, widely spaced nipples | Turner syndrome |
Elfin facies, mental retardation | Williams syndrome |
Virilization, hypogonadism, pseudohermaphroditism | Congenital adrenal hyperplasia |
Cafe-au-lait spots | Neurofibromatosis + renal artery stenosis or pheochromocytoma |
Warm, moist skin; tachycardia, hyperactive reflexes, thyromegaly | Thyrotoxicosis |
Regional features | |
Papilledema, slow heart rate | Increased intracranial pressure |
Retinal arterial changes | Severe or chronic hypertension |
Forceful or displaced LV apex beat | Left ventricular hypertrophy |
Decreased blood pressure and pulses in legs | Coarctation of the aorta |
Abdominal masses | Wilms tumor, neuroblastoma, cystic kidney, hydronephrosis |
Bruits in epigastrium or renal angles | Renal artery stenosis |