Growth Disorders Lecture Powerpoint

Question 1

Interpretation of percent of ideal body weight

Answer 1

110-120% overweight
>120% obese
90-110% normal variation
<70% severe wasting

Question 2

Global developmental delay (GDD) includes these 3 things

Answer 2

Head circumference
Height
Weight

Question 3

___ or ___ growth rates are rarely normal and warrant further investigation

Answer 3

accelerated, slowed

Question 4

Most apparent growth abnormalities are a result of….

Answer 4

….inaccurate data - not measuring accurately, normal to weigh or measure those under 2 without clothing

Question 5

A single value alone on a growth chart is of…

Answer 5

….limited value - its the rates being persistently low or high that are indicators of abnormality

Question 6

Causes of increased weight in pediatrics (2)

Answer 6

• endocrine disorders (hypothyroid, cushings, thalamic or pituitary)
• overnutrition

Question 7

Causes of decreased weight in pediatrics (4)

Answer 7

• undernutrition
• psychosocial deprivation
• hypothyroidism
• deficiency in nutrient

Question 8

Initial assessment tests for weight changes in pediatrics (4)

Answer 8

• thyroid tests
• cortisol tests
• cbc
• ferritin levels

Question 9

Krabbe disease

Answer 9

Globoid cell leukodystrophy, rare and often fatal lysosomal storage dz which results in progressive damage to the NS, involves dysfunctional metabolism and inherited in autosomal recessive pattern

Question 10

Common conditions associated with increased head circumference (4)

Answer 10

• familial
• hydrocephalus
• nervous system dz
• metabolic storage disease such as krabbe

Question 11

Common conditions associated with decreased head circumference (5) (usually pathologic)

Answer 11

• familial
• prenatal insult
• fetal alcohol syndrome
• maternal infection (TORCHES viruses)
• chromosome defects

Question 12

Diagnostic evaluation of microcephaly (4)

Answer 12

• Maternal phenylalanine level
• karytoype of child for suspected congenital abnormality
• head imaging
• serum titers

Question 13

Common conditions associated with increased height (3)

Answer 13

• hyperthyroid
• klinefelters
• marfan’s syndrome

Question 14

Common conditions associated with decreased height (4)

Answer 14

• chronic anemia
• turners syndrome
• rickets
• psychosocial deprivation

Question 15

How to determine height from parents

Answer 15

Girls 5 inches less than mean paternal height, boys 5 inches taller than mean maternal height

Question 16

1 cause of short stature

Answer 16

short parents

Question 17

Neonatal jaundice is caused by what type of bilirubin?

Answer 17

Nonconjugated

Question 18

Any child growing ___ annually between 3 and puberty should be considered abnormal

Answer 18

<1.75’’

Question 19

Radiographic evaluation of bone age to chronologic age

Answer 19

Bone age > chronologic then final height < predicted

Bone age < chronologic then final height > predicted

Question 20

U/L ratio

Answer 20

Upper body segment divided by lower body segment, higher U/L ratio characteristic of short limb dwarfism or bone disorders such as rickets

Question 21

Familial short stature bone age is ___, constitutional delay bone age is ___

Answer 21

normal, low

Question 22

Is detnal development correlated with estimations of growth and maturation?

Answer 22

No - might instead suggest poor hygeine, trauma, or metabolic disturbances

Question 23

Treatment of abnormal growth (1)

Answer 23

-synthetic human growth hormone