Growth disorder Flashcards
Normal variants of short stature (2)
familial short stature
constitutional delay
Pathologic short stature EXCEPT
a. skeletal dysplasia
b. Constitutional delay
c. Psychosocial dwarfism
d. Chronic anemia
B
Prenatal cause of short stature EXCEPT
a. IUGR
b. placental diseases
c. dysmorphic syndromes
d. endocrine disorders
D
Cause of short stature when: annual growth rate normal height at or below 3rd percentile no systemic or endocrine disease pubertal growth at normal age skeletal age equal to chronological age ancestors relatively short
Familial short stature
Cause of short stature when
exaggerated “phase change” growth deceleration
transient deficiencies in GH secretion
severity of CDGP/BA delay reflects duration of periods of impaired GH secretion
slowed tempo of growth -> BA delay -> eventual pubertal delay
eventually reaches adult height/normal predicted adult height
normal at birth length
constitutional delay
Lumbar lordosis
short extremtities
frontal bossing
normal intelligence
Achondroplasia
bowed legs stunted growth large forehead trouble sleeping widening of wrists
Rickets
Small head
prominent beak-like nose
developmental delay
“bird headed dwarfism”
Seckel syndrome
hypertelorism periauricular pit developmental delay small for age short upper lip short philtrum cleft lip/palate
Wolf Hirschhorn syndrome; Greek warrior helmet
upslanted eyes low set ears simian crease gap bet 1st and 2nd toes mental retardation
Trisomy 21
Prominent occiput micrognathia low set ears overlapping 4th and 5th fingers rocker bottom feet mental retardation
Trisomy 18
Microcephaly microphthamia cleft lip/palate polydactyly umbilical hernia rocker bottom feet
Trisomy 13
Physiologic effects of thyroid hormone:
Cardio
increased heart rate and CO
Physiologic effects of thyroid hormone:
GI
increased gut motility; hyperthy - diarrhea
Physiologic effects of thyroid hormone:
Pulmo
maintenance of normal hypoxic and hypercapnic drive