Growth hormone deficiency physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with growth hormone deficiency usually look tired and less energetic than normal subjects. Extremities show [[Clubbing]], muscle atrophy, neonatal jaundice, neonatal cyanosis. Head may show infantile facies, delayed dentition, and brittle hair. Children may show hyporeflexia and delayed puberty. | |||
==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with growth hormone deficiency usually | *Patients with growth hormone deficiency usually look tired and less energetic than normal subjects of the same age with infantile with doll-like body shape. In adults, increased lean body mass causes weight gain, especially around the waist. | ||
=== Back === | === Back === | ||
Revision as of 00:10, 17 August 2017
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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
Patients with growth hormone deficiency usually look tired and less energetic than normal subjects. Extremities show Clubbing, muscle atrophy, neonatal jaundice, neonatal cyanosis. Head may show infantile facies, delayed dentition, and brittle hair. Children may show hyporeflexia and delayed puberty.
Physical Examination
Appearance of the Patient
- Patients with growth hormone deficiency usually look tired and less energetic than normal subjects of the same age with 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 are 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