Study concept and design: Lastra, Stoecker.
Acquisition of data: Rader.
Analysis and interpretation of data: All authors.
Drafting of the manuscript: All authors.
Critical revision of the manuscript for important intellectual content: Payne, Rader, Stoecker.
Statistical analysis: Rader, Stoecker.
Study supervision: Lastra, Stoecker.
Conflict of Interest Disclosures: None reported.
Additional Contributions: David Klachko, MD, Department of Endocrinology, University of Missouri School of Medicine, who taught his students to perform a careful physical examination, inspired this study. Kristen Hinton, BS, assisted in enrolling patients for this study.