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
- Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
- Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
- The presence of [finding(s)] on physical examination is diagnostic of [disease name].
- The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
Physical Examination
- Physical examination of patients with [disease name] is usually remarkable for:[finding 1], [finding 2], and [finding 3].
- The presence of [finding(s)] on physical examination is diagnostic of [disease name].
- The presence of [finding(s)] on physical examination is highly suggestive of [disease name].
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
Osteoprosis and tenderness of the
the lumbar spine is somewhat lower in patients compared with normal subjects.[11].
Vital Signs
- Hypothermia may be present especially if associated with hypothyroidism
- Tachypnea
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