Growth hormone deficiency physical examination

	Growth hormone deficiency Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D [2]

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.

Children with growth hormone deficiency usually look tired and less energetic than normal subjects of the same age with infantile doll-like body shape.
In adults, increased lean body mass causes weight gain, especially around the waist.^[1]

Osteoporosis and tenderness of the lumbar spine are higher in patients compared with normal subjects.^[2]

Carotid bruits may be auscultated unilaterally/bilaterally due to the high rate of atherosclerosis.^[3]

↑ Fukuda I, Hizuka N, Muraoka T, Ichihara A (2014). "Adult growth hormone deficiency: current concepts". Neurol Med Chir (Tokyo). 54 (8): 599–605. PMC 4533495. PMID 25070016.
↑ Stanley T (2012). "Diagnosis of growth hormone deficiency in childhood". Curr Opin Endocrinol Diabetes Obes. 19 (1): 47–52. doi:10.1097/MED.0b013e32834ec952. PMC 3279941. PMID 22157400.
↑ ^3.0 ^3.1 Nielsen J, Jensen RB, Afdeling AJ (2015). "[Growth hormone deficiency in children]". Ugeskr Laeger. 177 (26): 1260–3. PMID 26550626.
↑ ^4.0 ^4.1 Chinoy A, Murray PG (2016). "Diagnosis of growth hormone deficiency in the paediatric and transitional age". Best Pract Res Clin Endocrinol Metab. 30 (6): 737–747. doi:10.1016/j.beem.2016.11.002. PMID 27974187.