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Paediatric

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Endocrinology

Question
1 out of 35
 

A 9 year old boy presents with growth retardation and propensity to hypoglycemia Physical examination reveals short stature, micropenis, increased fat and high-pitched voice. The skeletal survey reveals bone age of 5 years. Which of the following is most appropriate diagnosis (LQ)



A Malabsorption

B Growth hormone deficiency

C Adrenal tumour

D Thyroxin deficiency

Ans. B

Growth hormone deficiency Ref:

It is classic case of Growth hormone deficiency

Clinical features of Growth hormone deficiency

Short children with normal body proportions Truncal obesity

Markely increased subcutaneous fat High pitched voice

Delayed skeletal age than chronological age Depressed nasal bridge

The height age is less than skeletal age and chronological age. Prominent philtrum

Hypoplastic penis and scrotum Frontal bossing

May present with severe hypoglycemic convulsions. Delayed sexual maturation

Crowding of midfacial features Delayed tooth eruption

Genitals are small (sexual infantilisrn)

Endocrinology Flashcard List

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