Growth Hormone Case Study

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[Name] is now 7-year-old. He is seen in follow up for growth hormone deficiency. He recently underwent an MRI of the pituitary and hypothalamus under sedation, and this showed what appears to be pituitary hypoplasia. He has also had some very significant developmental delays, but his mother indicates that he is making quite a bit of progress; both in terms of speech and in understanding. He is also being treated with Adderall extended release 5 mg, 1 daily.

Unfortunately, the family has had some difficulties in administering the growth hormone over this past month or 2. They have had difficulty getting appropriate syringes, and the parent's insurance have changed from [Name] then to [Name] and now to [Name], and as a result mother thinks that he may have missed a good part of his growth hormone because he is not able to use the syringes that [Name] continued to send to him, which are very large and painful. I did explain to her that it is very important that he get his growth …show more content…
His review of systems indicates that his visual status is stable. He has not had chronic ENT problems. Headaches are much decreased in frequency. Over the summer months' he has not had respiratory difficulty, chest pain or GI distress. His appetite remains very variable. No musculoskeletal injuries or seizures. He is getting ready to return to 1st grade at his charter school. He has shown no immunologic, puberty, skin, joint, or other problems, and his review of systems is otherwise negative.

His weight is 35-3/4 pounds. His blood pressure 98/62. Height 108.6 cm, which is actually unchanged, and I think reflects the fact that he has not been getting his growth hormone on a regular basis.
Pupils are equal and reactive to light. I cannot visualize his

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