Growth hormone deficiency physical examination: Difference between revisions

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* Delayed physical maturation
* Delayed physical maturation
*Mild to moderate chubbiness
*Mild to moderate chubbiness
*Cherubic facial features characterized by [[maxilla]]ry hypoplasia and forehead prominence (said to resemble a kewpie doll).                                                                                                                                                                                                                                                                                        
*Cherubic facial features characterized by [[maxilla]]ry hypoplasia and forehead prominence (said to resemble a kewpie doll).      


===Neurologic Examination===
===Neurologic Examination===
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==References==
==References==
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Revision as of 17:31, 19 September 2012

Growth hormone deficiency Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Growth hormone deficiency from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Physical Examination

Appearance

In children,

  • Proportional stature well below that expected for family heights
  • Below-normal velocity of growth
  • Delayed physical maturation
  • Mild to moderate chubbiness
  • Cherubic facial features characterized by maxillary hypoplasia and forehead prominence (said to resemble a kewpie doll).

Neurologic Examination

In adults,

  • Diminished muscle strength

Genitourinary system

When these features are accompanied by corroboratory evidence of hypopituitarism such as deficiency of other pituitary hormones, a structurally abnormal pituitary, or a history of damage to the pituitary, the diagnosis is confirmed and presumed to be lifelong. When these corroborative features are not present, further testing is needed to establish the diagnosis.

References

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