Growth hormone deficiency physical examination: Difference between revisions
Created page with "__NOTOC__ {{Growth hormone deficiency}} {{CMG}} ==Overview== ==Physical Examination== ===Appearance=== In children, * Proportional stature well below that expected for family..." |
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* Below-normal velocity of growth | * Below-normal velocity of growth | ||
* Delayed physical maturation | * Delayed physical maturation | ||
*Mild to moderate chubbiness | |||
*Cherubic facial features characterized by [[maxilla]]ry hypoplasia and forehead prominence (said to resemble a kewpie doll). | |||
===Neurologic Examination=== | ===Neurologic Examination=== | ||
In adults, | In adults, | ||
* Diminished muscle strength | * Diminished muscle strength | ||
===Genitourinary system=== | |||
*[[Micropenis]] | |||
When these features are accompanied by corroboratory evidence of [[hypopituitarism]] such as deficiency of other pituitary hormones, a structurally abnormal pituitary, or a history of damage to the pituitary, the diagnosis is confirmed and presumed to be lifelong. When these corroborative features are not present, further testing is needed to establish the diagnosis. | When these features are accompanied by corroboratory evidence of [[hypopituitarism]] such as deficiency of other pituitary hormones, a structurally abnormal pituitary, or a history of damage to the pituitary, the diagnosis is confirmed and presumed to be lifelong. When these corroborative features are not present, further testing is needed to establish the diagnosis. |
Revision as of 15:49, 19 September 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Examination
Appearance
In children,
- Proportional stature well below that expected for family heights
- Below-normal velocity of growth
- Delayed physical maturation
- Mild to moderate chubbiness
- Cherubic facial features characterized by maxillary hypoplasia and forehead prominence (said to resemble a kewpie doll).
Neurologic Examination
In adults,
- Diminished muscle strength
Genitourinary system
When these features are accompanied by corroboratory evidence of hypopituitarism such as deficiency of other pituitary hormones, a structurally abnormal pituitary, or a history of damage to the pituitary, the diagnosis is confirmed and presumed to be lifelong. When these corroborative features are not present, further testing is needed to establish the diagnosis.