Growth hormone deficiency physical examination: Difference between revisions

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==Overview==
==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==
*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===
===Appearance of the Patient===
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=== Back ===
=== Back ===
Osteoprosis and tenderness of the
Osteoporosis and tenderness of the lumbar spines is higher in patients compared with normal subjects. 11]
 
the lumbar spine is somewhat lower in patients compared with normal subjects.[11].


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


*[[Hypothermia]] may be present especially if associated with hypothyroidism
*[[Hypothermia]] may be present especially if associated with hypothyroidism
*Tachypnea


===Skin===
===Skin===
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===Extremities===
===Extremities===
*[[Clubbing]]  
*[[Clubbing]]  
*[[Cyanosis]]  
*[[Cyanosis]] [[Cyanosis|in neonates]]  
*Pitting/non-pitting [[edema]] of the upper/lower extremities
*[[Jaundice]] in neonates
*Pitting/non-pitting [[edema]]
*Muscle atrophy  
*Muscle atrophy  


Revision as of 16:59, 14 August 2017

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

Laboratory Findings

X Ray

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Other Imaging Findings

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Treatment

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Future or Investigational Therapies

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Case #1

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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.

Back

Osteoporosis and tenderness of the lumbar spines is 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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