Growth hormone deficiency physical examination

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]

• Hypothermia associated with hypothyroidism

• Cyanosis in neonates
• Jaundice in neonates

• Infantile facies
• Delayed dentition
• Brittle hair.

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

• Abdominal distention

• Cryptorchidism and micropenis in infants^[4]
• Delayed puberty in children^[3]

• Hyporeflexia
• Muscle weakness bilaterally

• Clubbing
• Cyanosis in neonates
• Jaundice in neonates
• Pitting/non-pitting edema
• Muscle atrophy^[4]

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