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.
- Adults usually look tired
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