Nelson - Short stature Flashcards

1
Q

Ddx of short stature: (+) family history

A

Constitutional delay, familial short stature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Ddx of short stature: Males more often

A

Constitutional delay

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Ddx of short stature: Female only

A

Turner syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Ddx of short stature: Immature facies with midline defect

A

Hypopituitarism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Ddx of short stature: Immature facies

A

Constitutional delay

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Ddx of short stature: Coarse facies

A

Hypothyroidism (cretinism)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Ddx of short stature: Normal sexual development

A

Familial short stature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Ddx of short stature: Female prepubertal

A

Turner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Ddx of short stature: Usually delayed but may be precocious

A

Hypothy, precocious if severe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Ddx of short stature: T/F most causes present with delayed sexual development

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Ddx of short stature: Normal bone age

A

Familial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Ddx of short stature: Growth arrest lines present

A

Deprivational dwarfism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Ddx of short stature: T/F Most causes have delayed bone growth

A

T, only familial presents with normal bone growth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Ddx of short stature: Hypogly may be present

A

Hypopit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Ddx of short stature: May present with low FT4

A

Hypopit, Hypothy, Deprivational dwarfism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Ddx of short stature: Low stimulated GH

A

Hypopit, Hypothy

17
Q

Therapy for short stature: Hypopit

A

Replace deficiencies

18
Q

Therapy for short stature: Constitutional

A

Reassurance, sex steroids

19
Q

Therapy for short stature: Deprivational dwarfism

A

Change or improve environment

20
Q

Therapy for short stature: Turner syndrome

A

Sex hormone replacement

21
Q

Therapy for short stature: Hypothy

A

T4

22
Q

Therapy for short stature: Chronic disease

A

Treat malnut