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Child and Family > Growth, Puberty and Adolescence > Flashcards

Growth, Puberty and Adolescence Flashcards

1
Q

How far apart are centiles?

A

2/3rds of a standard deviation

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2
Q

What 2 factors show normal growth?

A

Their measurements are within the normal range compared with children of their age
Their rate of growth is within the normal range

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3
Q

Is a child who is growing normal likely to have major underlying problems?

A

No

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4
Q

What are 4 changes to growth charts in the last 30 years?

A

Shift to the right
Longer tail
Increasing severe obesity
Similar upward trend with height

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5
Q

How should babies be weighed?

A

No clothes or nappy

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6
Q

How should children older than 2 be weighed?

A

Vest and pants
No shoes
No dolls or teddies in hand

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7
Q

How should head circumference be measured?

A

3 times and take average
Narrow plastic or disposable paper tape
Where head is widest

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8
Q

What is the average age for a girl to enter puberty?

A

11 years

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9
Q

What are the 2 gonadotrophins?

A

FSH

LH

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10
Q

What is precocious puberty?

A

Normal pubertal development
<8 for girls
<9 for boys

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11
Q

When is puberty delayed?

A

Abscence of sexual development in a girl aged 13 or a boy aged 14

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12
Q

Why are boys taller than girls?

A

Boys have delayed PHV
Boys PHV>Girls
Boys taller in pre-puberty

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13
Q

What is stage 1 of puberty?

A

Prepubertal

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14
Q

What is stage 5 of puberty?

A

Adult

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15
Q

What is Thelarce?

A

Breast budding

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16
Q

What is adrenarche?

A

Body hair and odour

17
Q

What is menarche?

A

Period start

18
Q

When do girls reach their peak height velocity?

A

12 years

19
Q

When do boys reach their peak height velocity?

A

14 years

20
Q

What are important examination features with growth problems?

A 
ICE
Birth
PMH
PUbertal
FH
-Parental heights
Parental puberty
21
Q

What are important examination features of growth problems?

A 
Height
Weight 
Height velocity
Signs suggestive of pathology
Pubertal status
22
Q

What investigations are important for growth problems?

A 
Bloods
Bone age
Dynamic function tests
MRI brain
USS uterus
23
Q

What blood tests are done for growth problems?

A 
Gonadotrophins
Growth factors
Sex hormone levels
Thyroid
Karotype
Older pathology
24
Q

How can short stature be classified?

A 
Genetic
Growth delay
Dysmorphic syndromes
Endocrine disorders
Chronic diseases
Psychosocial deprivation

Child and Family (13 decks)

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