An 18-year-old male is being evaluated for hypogonadism. The nurse would evaluate which physical findings as supporting that tentative diagnosis?
1. Facial hair is minimal, soft, and light in color.
2. Pubic hair is absent.
3. There is decreased subcutaneous fat.
4. Testicles are small.
5. Skin is pale.
1,2,4
Rationale 1: Lack of secondary sexual characteristics like beard development is associated with hypogonadism.
Rationale 2: Lack of secondary sexual characteristics like pubic hair is associated with hypogonadism.
Rationale 3: It is more likely that subcutaneous fat will be increased in a patient with hypogonadism.
Rationale 4: Lack of secondary sexual characteristics like development of the testes is associated with hypogonadism.
Rationale 5: Pale skin is not associated with hypogonadism.
Global Rationale: Lack of secondary sexual characteristics like beard development, pubic hair, and testicular development is associated with hypogonadism. It is more likely that subcutaneous fat will be increased in a patient with hypogonadism. Pale skin is not associated with hypogonadism.
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