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thesis framework skins •• children with gh-deficient or gh-insufficient short stature also may present with abdominal obesity, prominence generic viagra reddit of the forehead, and immaturity of the face. Other diagnostic tests •• perform mri or computed tomography (ct) scan of the hypothalamic–pituitary region to detect structural or developmental anomaly. •• perform radiography of the left wrist and hand for children older than 1 year of age to estimate bone age (knee and ankle for children younger than 1 year of age). Laboratory tests •• patients will exhibit a peak gh concentration of less than 10 ng/ml (10 mcg/l. 452 pmol/l) after a gh stimulation test. •• reduced igf-i concentration also may be present. Adapted from jordan jk, sheehan ah, yanovski ja, calis ka. Pituitary gland disorders. In. Dipiro jt, talbert rl, yee gc, et al, eds. Pharmacotherapy. A pathophysiologic approach. 9th ed.

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