Physical examination findings and associated aetiologies
| Physical examination | Possible underlying aetiology |
|---|---|
| Abnormal height velocity | Growth hormone deficiency |
| Low weight for height, exophthalmos, sweaty skin, tremor, hypertension, goitre | Hyperthyroidism |
| Increased weight for height, dry skin, dry hair, bradycardia, goitre | Hypothyroidism |
| Low weight for height, pallor, abdominal distention or tenderness | Coeliac disease, inflammatory bowel disease |
| Visual field abnormalities, abnormal neurological exam | Congenital or acquired central nervous system disease |
| Midline defects (eg, cleft lip and/or palate, congenital heart disease), dysmorphic features (eg, hypertelorism, webbed neck) | Congenital syndrome (eg, septo-optic dysplasia, Turner's syndrome) |