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    •   DIAGNOSTICS. Definition of clinical signs

    you are: DIAGNOSTICS

    The great value gets definition of clinical signs androgennoj insufficiency.

    Clinical signs of infringement androgennoj functions - premature or overdue sexual development. Premature development specifies in presence giperan-drogenii, and overdue is characteristic for gipoandrogenii, expressed in fall cash or reserve androgennoj functions. Often at such patients in the anamnesis is on transferred in the childhood parotichesky, brutselleznyj or tuljaremijnyj orhit. The general it is presented nie about endokrinnom the status of the patient it is possible to receive on the basis of an estimation of a constitution, a condition of a skin, development | topography of a hypodermic basis, character ovolosenija, conditions of kostno-muscular system and others, bodies. Excessive adjournment of fat on hips, buttocks, the wide basin and narrow shoulders, the triangular form ovolosenija lobka are signs of the feminization peculiar to persons with lowered androgennoj by function.

    At an establishment of existing deviations from a normal phenotype expediently carrying out of anthopometry with studying of following parametres: 1) thorax circles; 2) bottom trohanternogo the size (from an upper edge of the big spit to the basis on which costs surveyed); 3) growth; 4) mezhvertelnoj distances; 5) mezhakromialnoj distances.

    At the healthy man the size bottom trohanternogo the size in 2 times is less than growth, the length of scope of hands is equal to growth, mezhvertelnyj the size on 10 sm is less mezhakromealnogo. Reduction of the relation of the sizes of growth to troh-anternomu to the size, increase mezhvertelnogo the size at low mezhakromealnom, small sizes of a circle of a breast in a combination to great value mezhvertelnogo testify the size to female type of sexual differentiation. They characterise evnuhoidnyj type morfogrammy and are observed at anorhizme, bilateral belly kriptorhizme, at man's psevdogermafroditizme, ekzomorfnoj to the form of syndrome Klajnfeltera. Morfogramma can help with differential diagnostics primary and secondary gipogonadizma.