Evaluation of Worrisome Growth Flashcards
What parameters define worrisome growth for height?
2nd percentile (roughly 2 SD below average for age and gender) or 3.5 inches shorter than mid-parental height
Kids usually grow about ________ cm in the first year of life.
25
From year one to four, kids grow about ______ cm/year.
10
Arguably the most important metric in evaluating a child’s growth is _____________.
a history of past points; for instance, you could have a kid who’s at the 2nd percentile, but that is less worrisome if he or she has been at the 2nd percentile for their entire life (as opposed to if they were at the 15th percentile during their last visit)
Delayed bone ages predict _____________.
greater eventual height
How can bone age help in the evaluation of growth?
Bone age that is younger than actual age is indicative of future growth, while bone age older than actual age predicts less future growth.
When does the fall in growth in familial short stature occur?
Usually between 6 months and 18 months; decreases in growth after “the first couple years of life” is worrisome for other causes of short stature
Constitutional growth delay is familiarly called _____________.
being a late bloomer –falling off the growth curve before 2-3 years of age, then paralleling it until puberty when some height is then regained
Constitutional growth delay is a ____________ trait.
polygenic (60% - 80% will have a family member with short stature)
The term “failure to thrive” should only be used for _-_______________.
kids younger than 2 years
What is nutritional growth retardation?
Linear growth stunting from poor weight gain in children over 2 years
Hormonal causes of worrisome growth generally affect ____________.
height (not weight)
Many features of ____________ that are present in adults are not present in kids. Often the only sign is poor growth.
hypothyroidism
Congenital growth hormone deficiency results in _________________.
- holoprosencephaly
- cleft lip
- septo-optic dysplasia
- optic nerve hypoplasia
- empty sella syndrome
_____________ can present on a spectrum, with a range of severity.
Growth hormone deficiency