{"id":202,"date":"2017-03-26T09:13:04","date_gmt":"2017-03-26T09:13:04","guid":{"rendered":"http:\/\/papergp.com\/index.php\/mens-health\/gynaecomastia\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"gynaecomastia","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/mens-health\/other\/gynaecomastia\/","title":{"rendered":"Gynaecomastia"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Differential diagnosis<\/h4>\n<ul>\n<li>Testicular Ca &#8211; testicular lumps, weight loss<\/li>\n<li>Anabolic steroids<\/li>\n<li>Liver disease<\/li>\n<li>Idiopathic<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Red flags &#8211; testicular lumps<\/li>\n<li>Others &#8211; steroids<\/li>\n<li>Examine &#8211; pulse, BP, BMI, chest, testicles<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; U+E, LFTs, TFTs, hormones (oestrogen, testosterone, prolactin)<\/li>\n<li>USS breast, USS testes, CXR<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation\n<ul>\n<li>common in puberty and older men, need to make sure there are no medical causes e.g. testicle lumps, liver disease, medications<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Weight loss, clothes<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow-up \/ Safety &#8211; net\n<ul>\n<li>Referral &#8211; tamoxifen, cosmetic surgery (not on NHS)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Differential diagnosis Testicular Ca &#8211; testicular lumps, weight loss Anabolic steroids Liver disease Idiopathic &nbsp; Data gathering Red flags &#8211; testicular lumps Others &#8211; steroids Examine &#8211; pulse, BP, BMI, chest, testicles &nbsp; Clinical management Investigations Bloods &#8211; U+E, LFTs, TFTs, hormones (oestrogen, testosterone, prolactin) USS breast, USS testes, CXR Explanation common in puberty and &hellip; <a href=\"https:\/\/papergp.com\/index.php\/mens-health\/other\/gynaecomastia\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Gynaecomastia<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2419,"menu_order":123,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-202","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/202","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=202"}],"version-history":[{"count":7,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/202\/revisions"}],"predecessor-version":[{"id":1980,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/202\/revisions\/1980"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2419"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=202"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}