Growth hormone deficiency physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
Line 18: | Line 11: | ||
=== Back === | === Back === | ||
Osteoporosis and tenderness of the lumbar spines is higher in patients compared with normal subjects. 11] | |||
the lumbar | |||
===Vital Signs=== | ===Vital Signs=== | ||
*[[Hypothermia]] may be present especially if associated with hypothyroidism | *[[Hypothermia]] may be present especially if associated with hypothyroidism | ||
===Skin=== | ===Skin=== | ||
Line 50: | Line 40: | ||
===Extremities=== | ===Extremities=== | ||
*[[Clubbing]] | *[[Clubbing]] | ||
*[[Cyanosis]] | *[[Cyanosis]] [[Cyanosis|in neonates]] | ||
*Pitting/non-pitting [[edema]] | *[[Jaundice]] in neonates | ||
*Pitting/non-pitting [[edema]] | |||
*Muscle atrophy | *Muscle atrophy | ||
Revision as of 16:59, 14 August 2017
Growth hormone deficiency Microchapters |
Differentiating Growth hormone deficiency from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Physical Examination
Appearance of the Patient
- Patients with growth hormone deficiency usually appear infantile with doll-like body shape. In adults, increased lean body mass causes weight gain, especially around the waist.
Back
Osteoporosis and tenderness of the lumbar spines is higher in patients compared with normal subjects. 11]
Vital Signs
- Hypothermia may be present especially if associated with hypothyroidism
Skin
HEENT
- Head may include infantile facies, delayed dentition, and brittle hair
Neck
- Carotid bruits may be auscultated unilaterally/bilaterally due to high rate of atherosclerosis
Abdomen
- Abdominal distention due to increased lean body mass
Genitourinary
- Cryptorchidism and micropenis in infants
- Delayed puberty in children
Neuromuscular
- Hyporeflexia
- Muscle weakness bilaterally
Extremities
- Clubbing
- Cyanosis in neonates
- Jaundice in neonates
- Pitting/non-pitting edema
- Muscle atrophy