Delayed_Puberty_flashcards
Is the child’s growth normal for their age? Are they short for their age? What is their weight/BMI? Have you looked at their growth chart in the red book? Are the parents short?
Inquire about the child’s growth and compare it to their growth chart in the red book. Ask about the height of the parents and if there is a family history of short stature.
Are there any bowel issues, signs of IBD or coeliac disease?
Ask about any bowel issues or symptoms that might indicate IBD or coeliac disease.
Is the child engaging in excessive exercise? Are they eating normally?
Inquire if the child is engaging in excessive exercise and if they are eating normally.
Does the child have any breathing difficulty or repeated chest infections, which might indicate cystic fibrosis?
Ask if the child has any breathing difficulties or repeated chest infections, which might indicate cystic fibrosis.
Are there any lower urinary tract symptoms?
Check for any lower urinary tract symptoms.
Has the child ever mentioned that they can’t smell something? This could rule out Kallmann syndrome.
Inquire if the child has ever mentioned a lack of smell, which could indicate Kallmann syndrome.
Does the child have a past medical history of surgeries, chemotherapy, or radiotherapy?
Ask about the child’s past medical history, including any surgeries, chemotherapy, or radiotherapy.
Assess the child’s development and puberty: Have they shown secondary sexual characteristics such as voice deepening, breast development, periods starting, pubic hair, or increased testes size?
Assess the child’s development and puberty by checking for secondary sexual characteristics such as voice deepening, breast development, periods starting, pubic hair, and increased testes size.
Are the child’s vaccinations up to date?
Confirm if the child’s vaccinations are up to date.
Is there a family history of delayed puberty or growth?
Inquire about any family history of delayed puberty or growth.
What is the child’s social history like? How is their living situation and home life? Are they coping well at school? Is there any smoking, alcohol, or drug use? Are social services involved? Is the child stressed?
Discuss the child’s social history, including their living situation, home life, school performance, and any smoking, alcohol, or drug use. Check if social services are involved and if the child is experiencing stress.
