Sleep assessment

Blood pressure monitoring

■ r "id : ÏD^r^lo- (.:'" ■: did artery children in whom GH deficiency is suspected. Numerous pharmacologic agents such as insulin-induced hypoglycemia, levodopa, arginine, arginine plus levodopa, argin-ine plus GHRH, clonidine, and glucagon have been used to stimulate the pituitary to produce GH. However, no single test perfectly predicts GH deficiency or displays 100% sensitivity and specificity. 3 Additionally, administration of each of these tests is associated with adverse effects requiring close medical supervision. Further, current abnormal cutoffs to determine diagnosis are arbitrarily defined and lack universal con-

32 33

sensus. ' With further studies, these diagnostic criteria are likely to evolve and become more accurate. In prepubertal children, measurement of IGF-I concentrations may be useful in evaluating GH deficiency, with 100% specificity and 70% to 90% sensitivity.34 In children, the diagnosis of GH deficiency is further supported if height is more than two standard deviations below the population mean (age- and sex-

matched). Failure of linear growth is an almost universal presenting feature of childhood GH deficiency.

How To Bolster Your Immune System

How To Bolster Your Immune System

All Natural Immune Boosters Proven To Fight Infection, Disease And More. Discover A Natural, Safe Effective Way To Boost Your Immune System Using Ingredients From Your Kitchen Cupboard. The only common sense, no holds barred guide to hit the market today no gimmicks, no pills, just old fashioned common sense remedies to cure colds, influenza, viral infections and more.

Get My Free Audio Book


Post a comment