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Acromegaly 
Caused by over-secretion of growth hormone (GH) from the pituitary gland. 
The condition is rare
Acromegaly Caused ... #Acromegaly #Signs ... #Symptoms #Diagnosis ... #Endocrinology
The Febrile Child - some diagnostic clues to evaluating the febrile child.

#Febrile #Fever #Evaluation #Assessment #Signs
Febrile Child - some diagnostic ... clues to evaluating ... #Assessment #Signs ... #Symptoms #PhysicalExam ... #Diagnosis #Peds
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
has a number of causes ... punctuated by frequent sighs ... Occasional sighs ... Abnormalities #Abnormal ... #Diagnosis #PhysicalExam
Laboratory Evaluation of Patients for Thyroid Disease 
Hyperthyroidism:
 • Graves disease - TSH low; free T4
Laboratory Evaluation ... high; in some cases ... or high; normal ... #differential #diagnosis ... #endocrinology
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
is also a late sign ... If abnormal, this ... When the diagnosis ... requires further evaluation ... Newborn #Infant #PhysicalExam
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... aldosterone - Often normal ... Insufficiency #Evaluation ... #laboratory #diagnosis ... #testing #endocrinology
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
Systemic causes ... Nail #Diseases #Abnormal ... #Pathology #Diagnosis ... #Clinical #Signs ... #PhysicalExam #