Cretinism physical examination: Difference between revisions
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The presence of [finding(s)] on physical examination is highly suggestive of [disease name]. | The presence of [finding(s)] on physical examination is highly suggestive of [disease name]. | ||
==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with | *Patients with cretinism usually appear asymptomatic at the beginning | ||
===Vital Signs=== | ===Vital Signs=== | ||
* | *Hypothermia | ||
===Skin=== | ===Skin=== | ||
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* Large fontanelles | * Large fontanelles | ||
* Myxedema | * Myxedema | ||
* | * Coarse facial features | ||
* | * Macroglossia | ||
===Neck=== | ===Neck=== | ||
*Goiter | *Goiter | ||
===Heart=== | ===Heart=== | ||
* | *Bradycardia | ||
* | *Atrial and ventricular septal defects | ||
===Abdomen=== | ===Abdomen=== | ||
* | * Umbilical hernia | ||
===Genitourinary=== | === Genitourinary === | ||
*A | * Delayed puberty in the children | ||
* | * In severe cases, it can cause pseudo precocious puberty:<ref name="pmid7829625">{{cite journal| author=Anasti JN, Flack MR, Froehlich J, Nelson LM, Nisula BC| title=A potential novel mechanism for precocious puberty in juvenile hypothyroidism. | journal=J Clin Endocrinol Metab | year= 1995 | volume= 80 | issue= 1 | pages= 276-9 | pmid=7829625 | doi=10.1210/jcem.80.1.7829625 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7829625 }}</ref> | ||
* | ** Enlarged breast in females | ||
** Enlarged testes in the males | |||
===Neuromuscular=== | ===Neuromuscular=== | ||
* | *Delayed deep tendon reflexes | ||
* | *Hypotonia | ||
* | *Intellectual disability | ||
===Extremities=== | ===Extremities=== | ||
*[[Clubbing]] | *[[Clubbing]] | ||
*[[Cyanosis]] | *[[Cyanosis]] | ||
* | *Edema | ||
==References== | ==References== | ||
Revision as of 20:39, 21 August 2017
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Cretinism Microchapters |
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Cretinism physical examination On the Web |
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American Roentgen Ray Society Images of Cretinism physical examination |
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Risk calculators and risk factors for Cretinism physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
OR
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
OR
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
Appearance of the Patient
- Patients with cretinism usually appear asymptomatic at the beginning
Vital Signs
- Hypothermia
Skin
HEENT
- Large fontanelles
- Myxedema
- Coarse facial features
- Macroglossia
Neck
- Goiter
Heart
- Bradycardia
- Atrial and ventricular septal defects
Abdomen
- Umbilical hernia
Genitourinary
- Delayed puberty in the children
- In severe cases, it can cause pseudo precocious puberty:[1]
- Enlarged breast in females
- Enlarged testes in the males
Neuromuscular
- Delayed deep tendon reflexes
- Hypotonia
- Intellectual disability
Extremities
References
- ↑ Anasti JN, Flack MR, Froehlich J, Nelson LM, Nisula BC (1995). "A potential novel mechanism for precocious puberty in juvenile hypothyroidism". J Clin Endocrinol Metab. 80 (1): 276–9. doi:10.1210/jcem.80.1.7829625. PMID 7829625.