growth problems

Question 1

causes of short stature 7

Answer 1

acronum SINDED

Normal genetic short stature (child looks normal but short) or sonsititutional delay in growth and/or adolescence (child/adolescent is short and looks young for age)

Intrauterine growth retardation

Dysmorphic syndromes

Skeletal dysplasia

Chronic systemic diseases

Endocrine disorders

Dire sociaal circumstances - severe psychosocial deprivation

Question 2

examples of intrauterine growht retardation 2

Answer 2

longstanding placental insufficeiency

exposure to alcohol

Question 3

examples of dysmorphic syndrome 2

Answer 3

Downs

Turners

Question 4

exapmles of skeletal dysplasias 1

Answer 4

achondraplasia

Question 5

examples of chornic systemic disease afffecting growth 4

Answer 5

IBD

chronic renal failure

cystic fibrosis

severe asthma

Question 6

how can failure to thrive be split

Answer 6

organic

nonorganic

-most are non-organic

Question 7

organic causes of failure to thrive 2

Answer 7

malabsorption (coeliac disease)
and

caridac/resp/renal insufficiency

Question 8

important point about precoisous and early puberty in both girls and boys

Answer 8

is relatively common in girls - particulary in context of familial tendencys and those w CNS problems like learning difficulties, cerebal palsy and hydrocephalus

BOYS- usually means an underlying pathology

Question 9

investigations for precoesou puberty

Answer 9

MRI of hypothalamus
-usually normal

-but a hypothamic hamartoma can be found in some cases