Cretinism physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with cretinism usually appear asymptomatic at the beginning | *Patients with cretinism usually appear asymptomatic at the beginning<ref name="pmid9579233">{{cite journal| author=Law WY, Bradley DM, Lazarus JH, John R, Gregory JW| title=Congenital hypothyroidism in Wales (1982-1993): demographic features, clinical presentation and effects on early neurodevelopment. | journal=Clin Endocrinol (Oxf) | year= 1998 | volume= 48 | issue= 2 | pages= 201-7 | pmid=9579233 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9579233 }}</ref> | ||
===Vital Signs=== | ===Vital Signs=== | ||
Revision as of 20:44, 21 August 2017
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Cretinism Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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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[1]
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:[2]
- Enlarged breast in females
- Enlarged testes in the males
Neuromuscular
- Delayed deep tendon reflexes
- Hypotonia
- Intellectual disability
Extremities
References
- ↑ Law WY, Bradley DM, Lazarus JH, John R, Gregory JW (1998). "Congenital hypothyroidism in Wales (1982-1993): demographic features, clinical presentation and effects on early neurodevelopment". Clin Endocrinol (Oxf). 48 (2): 201–7. PMID 9579233.
- ↑ 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.