Growth hormone deficiency physical examination: Difference between revisions

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===Appearance of the Patient===
===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.  
*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 ===
=== Back ===
Osteoporosis and tenderness of the lumbar spines is higher in patients compared with normal subjects. 11]
Osteoporosis and tenderness of the lumbar spines are higher in patients compared with normal subjects. 11]


===Vital Signs===
===Vital Signs===

Revision as of 17:41, 14 August 2017

Growth hormone deficiency Microchapters

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Overview

Historical Perspective

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Pathophysiology

Causes

Differentiating Growth hormone deficiency from other Diseases

Epidemiology and Demographics

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Diagnosis

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History and Symptoms

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

Genitourinary

  • Cryptorchidism and micropenis in infants
  • Delayed puberty in children

Neuromuscular

  • Hyporeflexia
  • Muscle weakness bilaterally

Extremities

References

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