Evaluation of growth in children : Howell

Question 1

WHO vs CDC growth charts

Answer 1

WHO: 0-2 y/o
CDC: 2-18 y/o

Question 2

CA>BA=HA with normal GV

1st pattern

Answer 2

probably a constitutional delay of growth
- fhx of later bloomers
-normal physical exam and CBC, ESR with this diagnosis
-weight appropriate for height

Question 3

CA>BA=HA with abnormal GV

2nd pattern

Answer 3

same as first pattern but more concerning
-isolated GH def
-weight usually low for height
-positive review of systems

Question 4

CA=BA>HA with normal gv

3rd pattern

Answer 4

-indicative of genetic short stature or Small for gestational age
-weight appropriate or low for height
-possible relevant prenatal or birth hx

Question 5

CA= BA> HA with abnormal gv

4th pattern

Answer 5

-indicative of chromosomal or syndrome related dx (such as turners)
-wt usually heavier than appropriate
- possible abnormal PE
-would need to order a BA survey- skeletal survey to check for short stature