Pediatric Endocrinology Dr. Newman Flashcards
Endocrine problems looks like what on growth curve
First weight goes down and then height goes down
Inhaled corticosteroids and growth
Only stop first year of using and then you catch up or only 0.5inch lower growth
Short stature in child means
2SD below mean (5th-3rd percentile)
Child Height in 3rd percentile and weight is 90th percentile and going up
= round face, purple bands fought skin on abdomen
Endocrine problem
= maybe cushings (glucocorticoid excess) , most from bilateral adrenal hyperplasia from AP adenoma
Hyperthyroidism in infants
- Jaundice
- Gallbladder sludging
- Hyperphagia
Puberty is too early in girls when
8yo and lower
When do you need to pay attention to pre puberty
When you see both breast enlargement = estrogens and thick hair (puberty hair) = androgens
When there is both androgen effects and estrogen effects prepubertal then what to look for boy and girl
Precocious puberty and means full H-P-G axis activation
- Girl = idiopathic
- Boys = CNS lesion usually, rare
GH screening
- IGF-1 and IGFBP3
EBV infection is shown to do what
Cause hypothyroidism in kids + T1D (autoimmune diseases)
Kid is not growing as others and his dad had same thing happen and then grew a lot later , reason is, what do you do
Constitutional reason, can get IGF in case otherwise it should be fine
Head circumference is growing too fast
Ventricular outflow obstruction (ventricular fluid cant get out and sutures are not fused so they are more flexible)
Short term stress vs chronic stress
- Short term : sympathetic —> Adrenal Medulla secreting NE + Epi
- Chronic stress : ACTH —> Adernal cortex fascicularis secreting cortisol
GO FIND REX, MAKE GOOD SEX
Treating with ACTH can casue what
Lowering aldosterone secreations in the adrenal gland
