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Pediatrics General 096e72ba

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 a bone age of 5 years. Which of the following is most appropriate diagnosis –

A
Malabsorption
B
Growth hormone deficiency
C
Adrenal tumour
D
Thyroxin deficiency
High-Yield Explanation
It is a classic case of Growth hormone deficiency. clinical features of Growth hormone deficiency Short children with normal body proportions Markedly increased subcutaneous fat Delayed skeletal age than chronological age The height age is less than skeletal age and chronological age. Hypoplastic penis and scrotum May present with severe hypoglycemic convulsions. Crowding of midfacial features Genitals are small (sexual infantilism) Truncal obesity. High pitched voice Depressed nasal bridge Prominent philtrum Frontal Bossing Delayed sexual maturation Delayed tooth eruption

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