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분야
ppt2.Present Illness
3.History
4.Initial Review Of System
5.Initial Physical Examination
6.Impression
7.Plan
8.Lab test & Chest AP
9.Bone Age
10.Combined Pituitary Function Test
11.Image Study
12.Sella MRI
13.Diagnosis & Plan
14.Progression
15.Summary
There is no bony abnormality in the sellar turcica and visualized bones
Sella MRI (2003-09-18)
Absence of septum pellucidum
Empty sellar with ectopic neurohypophysis
Suspicious optic nerve atrophy, Rt.
But, for better evaluation, advice orbital CT coronal or MR empty sella syndrome, ectopic post pituitary absence of septum pellucidum
septo-optic dysplasia, or de Morsier’s syndrome
Diagnosis
Short stature
GH deficiency due to hypopituitarism
septo-optic dysplasia
Plan
Eutropin 2U X 6 (weight: 15.7kg)
Regular F/U : height, weight, growth rate
CBC, SMA, fT4
Bone age
IGF-I, IGFBP-3 (monitoring)
2005-06-17 부터 HbA1c 검사 추가
2009-02-04
146.cm/33.2kg
Subjective
f/u GH deficiency
Objective
7.7 cm/12.5 mon(=7.4 cm/y
Testicle 10cc/10cc, P1
Assessment
Short stature
Plan
f/u Lab & BA
Eutropin 4U/X6 for 3 mon
