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11327221
Yasser is falling behind
Description
Mind Map on Yasser is falling behind, created by shahid alzaghari on 10/11/2017.
Mind Map by
shahid alzaghari
, updated more than 1 year ago
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Created by
shahid alzaghari
about 7 years ago
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Resource summary
Yasser is falling behind
Yasser 2 years 1 month old
Main diagnosis
Growth Hormone Deficiency
Growth hormone
Produced (somatotrophs) and secreted in
exerts effects on almost all tissues
Adipose tissue
Cartilage
Bone
Liver
Muscles
Indirectly
Directly
191 amino acids-polypeptide chain-2 internal disulfide bridges
The pituitary gland does not make enough growth hormone
Criteria to Initiate Evaluation for GHD
Clinical presentation:
Congenital
Exaggerated jaundice in the first days
Growth failure
Slower developmental milestones
Reduced energy
Impaired concentration
Memory loss
Acquired
Delayed puberty
Baldness in men
Reduced bone mass and osteoperosis
Reduced energy
Increased body fats (around waist line)
Epidemiology
3-10 in every 100 babies are born smaller than normal
Investications:
Growth chart
Normal
GHD
Physical examination
Tests:
Blood tests
GH
IGF-1
CBC
Serum protein
Karyotyping
X-ray
Left wrist
Treatment
Anatomy and histology of pituitary gland
Brain
Forebrain
Diencephalon
Ventral: hypothalamus
Pituitary gland
Hypothalamic nuclei and neuroendocrine cells
Adenohypophysis
Pars distalis
Pars intermedia
Pars tuberalis
Neurohypophysis
Pars nervosa
Infundibular stem
Median eminence
NORMAL growth rate
Height
Weight
yasser was taken to the M&CH center (maternity hospital) where they get so many services and check the child health and normal growing
Services:
All pediatric services
Emergency services
and others....
Follow the patient up
To increase compliance
To adjust the doses
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