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General Nursing Framework

• Assessment: Critical reliance on growth charts (height/weight velocity) and developmental milestones. Physical exams focus on dysmorphic features, skin changes, and sexual maturity ratings.

• Interventions: Priorities include medication adherence (often lifelong), managing fluid/nutrition, and supporting psychosocial needs like body image and self-esteem.

Key Pituitary Disorders

• Growth Hormone (GH) Deficiency: Manifests as short stature and delayed bone age. Treated with daily subcutaneous somatropin injections. Success is measured by improved growth rates before ...