Monday, July 21, 2008

Gynaecomastia

This is a sign / symptom where the male gets inflammation in their mammory glands and essentially there breast tissue develops like a female, some even lactate. It is ususally due to an imbalance of hormones and is usually a sign of something more severe going in lymph nodes, particuarly in the liver. I recently had a young 27 year old male patient with this problem and had to do chest physio on him. Normally, when a male patient, i would get them to take off there top so i can get in and auscultate accurately. In trying to preserve his dignity i just did posterior segments and was abit airy fairy abit where i put my stehtoscope. Afterwards i thought... was it really preserving his dignity, or was it my own... was i scared of my reaction to something i hadnt seen before, and didnt know what sort of reaction i should have to it.. which leads me to think can you question a patient about it if this is the first time you are seeing them, or is that rude. I chose not to, but i found myself really intrigued about how it presented and how he noticed it.
curiosity didnt kill the cat in this instance

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