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==Overview==
==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.


==Physical Examination==
==Physical Examination==


===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 look tired and less energetic than normal subjects of the same age with infantile with doll-like body shape. In adults, increased lean body mass causes weight gain, especially around the waist.  
*Adults usually look tired, less energetic than normal subjects of the same age. 


=== Back ===
=== Back ===

Revision as of 00:10, 17 August 2017

Growth hormone deficiency Microchapters

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Differentiating Growth hormone deficiency from other Diseases

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

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.

Physical Examination

Appearance of the Patient

  • Patients with growth hormone deficiency usually look tired and less energetic than normal subjects of the same age with 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 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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