Growth hormone deficiency physical examination
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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