What are the items included in a specialized physical examination for axillary odor?
Disease description:
I have bromhidrosis (body odor), and my armpits always emit a foul, pungent smell. I would like to know what items are included in a specialized physical examination for bromhidrosis.
The physical examination items for the hyperhidrosis and bromhidrosis specialty mainly include the following:
1. General examination: Measurement of vital signs such as heart rate, respiration, blood pressure, and body temperature to assess the patient's overall health status.
2. Specialty examination: The physician will perform a detailed examination of the patient's axillae (armpits), observing the presence of odor and evaluating the local skin condition, such as redness, swelling, or ulceration.
3. Laboratory tests: These may include a complete blood count (CBC), coagulation profile, liver and kidney function tests, to evaluate the patient's blood condition, coagulation ability, and organ function. Additionally, axillary bacterial culture and fungal detection on the axillary skin surface may be conducted to assess for infection or fungal disease in the axillary region.
4. Imaging studies: For example, axillary ultrasound can display the soft tissue structure of the axilla and its internal blood flow status, aiding in the detection of enlarged lymph nodes or other abnormal echoic masses.
5. Other examinations: Dermatoscopy may be performed to observe whether there is skin damage, redness, swelling, or ulceration, as well as to check for folliculitis, dermatitis, or other conditions affecting the hair follicles in the axillary region.