Growth Charts Flashcards
what data can you get from a growth chart?
assessment of growth
BMI centile plotting scale
mid-parental centile
assessment of puberty
when is further investigation of growth required?
weight, height or BMI is below the 0.4th centile
height centile more than 3 centile spaces below mid-parental centile
drop in height of more than 2 centile spaces
discrepancies associated with underlying disease
concerns
how close are most children’s heights to the mid-parental centile?
within 2 centile spaces
when should BMI be calculated from height?
if height is above the 75th centile
Tanner stage 1 in boys
high voice
no signs of pubertal development
Tanner stages 2-3 in boys
slight deepening of voice
early pubic or armpit hair growth
enlargement of testes or penis
Tanner stages 4-5 in boys
voice fully broken
moustache
early facial hair growth
adult size penis with pubic and axillary hair
what is considered precocious puberty in boys?
puberty before aged 9
what is considered delayed puberty in boys?
no pubertal signs by age 14
what age should boys have completed puberty
17
Tanner stage 1 in girls
no signs of pubertal development
Tanner stages 2-3 in girls
any breast enlargement, pubic or armpit hair
Tanner stages 4-5 in girls
started periods with signs of pubertal development
what is considered precocious puberty in girls?
puberty before age 8
what age with no pubertal development is then considered delayed puberty?
13
