Developing a DDx in Peds

Question 1

how do we begin to develop a DDx?

Answer 1

referral indications/info, available medical records, create initial list***, utilize resources to research and refine the list, revise DDx

Question 2

when should we consider a work up for a premature baby?

Answer 2

if they have not caught up in growth by 2y

Question 3

how do we revise a DDx?

Answer 3

consider confirmed information, any new information learned, what features were ruled out? did pregnancy/birth/FHx make an impact? what is now suspected?

Question 4

when do children typically have an equal upper:lower segment ratio?

Answer 4

around 8y

Question 5

how can we better classify peds growth hx?

Answer 5

early puberty -> tall stature?
delayed puberty-> short stature?
parental ages for puberty might be helpful**
bone age*
tooth development
**parental heights to assess if child is growing based on mid-parental heights
diet -> poor growth??