Growth Flashcards
What four tests could you carry out if you were worried about a child with short stature?
Bone age
Thyroid function tests
Cortisol studies
GH stimulation
What is precocious puberty?
Puberty before the age of 8 in a girl and before the age fo 9 in a boy
What age is puberty considered delayed?
13 in girls and 14 in boys
What is thelarche?
Breast budding
How long after thelarche does menarche usually occur?
2 years
Give three reasons why males tend to be taller than females?
Boys have a delayed peak height velocity.
Boys peak height velocity is greater than girls
Boys are taller pre puberty
List some investigations you could carry out if you suspected a growth problem?
Bloods - gonadotrophins, growth factors, thyroid, karotype Bone age Dynamic function tests MRI brain USS uterus
What two conditions do children with down syndrome need to be screened for anually?
Hypothyroidism
Coeliac
What is tanner stage 1?
No signs of puberty
What is tanner stage 1 in girls?
pre puberty. No signs of puberty
What is tanner stage one in boys?
Pre puberty. High voice and no signs of pubertal development
What tanner stages describe being “in puberty”
Stages 2 - 3
What is the criteria in girls for tanner stage 2 - 3?
Any breast enlargement and/or
Pubic or axillary hair
What is the criteria in boys for tanner stage 2 - 3?
Any of: Slight voice deepening Early pubic or axillary hair Enlargement of the testes or penis Reddening of the scrotum
What are the criteria for tanner stage 4 - 5 (completion of puberty) in girls
If all of the following:
Periods
Breast, pubic and axillary hair development
