Presentation on theme: "AT THE Clinic scenario #2"— Presentation transcript:
1 AT THE Clinic scenario #2 By: Claudia Diaz & Alexander PinedaAT THE Clinic scenario #2
2 The parents of 14-year old Megan are concerned about her height because she is only 4 feet tall and they are both close to 6 feet tall. After tests by their doctor, certain hormones are prescribed for the girl. What is the probable diagnosis? What hormones are prescribed and explain why the girl might expect to reach normal height?
3 Causes…Abnormal development of pituitary may cause hypopituitarism or growth hormone deficiencyDamage to the pituitary by trauma can cause a child to stop growing at normal ratesKidney failures, diabetes, AIDs, & turner syndrome affect the pituitary natural functionSex hormones, testosterones, and estrogens have significant impact on the timing of growth
4 Conditions of ghdGrowth hormone disorder is a disorder involving the pituitary gland. The gland produces growth hormone and other hormones , but when it does not produce enough growth hormone; growth will be slower than normal.GHD can occur at any age and has a pattern of growing less than 2 inch per yearUsually children grow normally 2-3 years then start showing signs of GHDIn GHD children have normal body proportions and tend to look younger than kids their own ageSymptoms of GHD are :Short height for their ageIncreased amount of fat in the waist or faceLook younger than their actual ageHave delayed pubertyHave delayed tooth development
5 Treatment… Megan is suffering from GHD Two hormones frequently given are somatren and somatropinInjections are administered 3 to 7 times a weekGrowth is usually visible after 3 to 4 months of treatmentAdministered over a period of 2 to 4 years or until child reaches normal heightNormal height range for men is 5’7”-5’11”for women it is 5’2”-5’6”
6 Conditions of hormone… Growth hormone stimulates protein synthesis in bone and muscleIt stimulates the use of fat as fuel so that lean body mass increases and the skeleton growsFat and liver tissue are affected directly to release fat molecules, decrease glucose uptake and increases glycogenolysis (breakdown of glycogenolysis to glucose)
7 Symptoms Some complications include: Rare Complications: Side effects: Headaches, change in heart rate, ear infections, hearing problems, dizziness, vision problems, and nervousnessRare Complications:Pain or swelling at the injection site, pain in the hip or knee, a limp, or nausea and vomitingSide effects:Flu-like symptoms, constipation, trouble sleeping, loss of appetite, weight gain, and tightness in chest