Growth Flashcards
Skin fold thickness is measured by
Harpenden caliper
Commonest sites for measuring SFT are
Triceps
Biceps
Subscapular
Suprailiac
What is used to rapidly assess the malnutrition in children <5yrs
Mid upper arm circumference
OFC is ideally measured by
Non strechible flexible metal tape
Waist circumference is measured at
Midpoint between lowest point of costal margin and iliac crest in the midaxillary line
Upper and lower segment division is at
Level of public symphysis
Child’s genetic growth potential is estimated by
Mid parental height
Linear growth is favoured by
Insulin IGF 1 and 2 GH thyroxin Testosterone Human chorionic somatomammotrophin (in pregnancy)
Growth inhibition by
Cortisol
Short stature in children is
Height -2SD below mean for age and gender / height <3rd centile
Proportional short stature in
Chronic malnutrition
Endocrine disorders - GH deficiency/resistance, Cushing’s, hypothyroidism, rickets
Intrauterine infection
Disproportionate short stature in
Achondroplasia Untreated hypothyroidism Rickets Osteogenesis imperfecta Skeletal dysplasias Mucopolysaccharidosis Caries spine Hemivertebrae
Tall stature seen in
Klinefelter syndrome Marfan syndrome Soto syndrome BWS familial Hormonal - hyperthyroidism, precocious puberty, excessive androgens/GH
Bone age measured by
Xray
Bone age recorded in
Height for age chart