Child with short stature Flashcards
1
Q
Key history in child with short stature
A
Other symptoms (constitutional, GI, cardiac, pulmonary, renal, pelvic, endocrine)
Medications
Prenatal and birth history
Growth history
PMHx
FHx
Cognitive abilities and school performance
2
Q
Key physical exam in child with short stature
A
Vital signs
Height
Weight
HEENT, heart, lung, abdominal and neurologic exams
3
Q
14 yo M with short stature and lack of sexual development
+ birth weight and length were normal, but he is the shortest child in his class
+ father and uncles had same problem, but they are now of normal stature
A
Constitutional short stature Growth hormone (GH) deficiency Hypothyroidism Chronic renal insufficiency Genetic causes Cystic fibrosis
Physical exam CBC Electrolytes GH stimulation test IGF-1, IGFBP-3 levels TSH, FT4 XR - hand US - renal and cardiac Sweat chloride testing BUN/Cr Karyotype
