genitourinary disorders
Gynecomastia
Physical examination
Complete examination is done, including assessment of vital signs, skin, and general appearance. The neck is examined for Simple Nontoxic Goiter . The abdomen is examined for The breasts are examined while patients are recumbent with their hands behind the head. Examiners bring their thumb and forefinger together from opposite sides of the nipple until they meet. Any nipple discharge is noted. Lumps are assessed and characterized in terms of location, consistency, fixation to underlying tissues, and skin changes. Differentiation of true masses from accumulation of fatty tissue is detected by mammography or ultrasound imaging. The axilla is examined for lymph node involvement in men who have breast lumps. 