Pediatric Growth Flashcards
How do you distinguish Turner Syndrom Growth Chart (Pathological) from Familial/Constitutional (Non-Pathological)?
Turner’s stature is significantly shifted down and right
A short female patient should always be tested for _____ syndrome
Turner
Key Growth Chart difference between Hypothyroidism and Glucocorticoid Excess?
- Hypothyroid weight is only slightly above average
- Gluco weight is significantly above average
Obese patient growth chart due to exogenous causes (food) will have an increase in weight with Height following which 2 possible patterns?
staying steady or accelerating further up
_____excess in McCune Albright Syndrome results in Mutli-organ G-protein activation, Cafe au lait macules, Polyostotic fibrous dysplasia and what other key physical finding?
- GH
- Precocious Puberty
Key GH deficiency stature growth chart pattern
Slope looks like it will never rise
Klinefelter’s patients appear normal at birth, at childhood some behavioral problems/delays, but ALSO have scoliosis and Tall Stature due altered ____ ____
SHOX Gene
In regards to pathological short stature, GH deficiency, hypothyroidism, Cushing’s all have what physical finding in the absence of dysmorphic features?
Increased Weight for Height
In regards to pathological short stature, Turner’s, Trisomy 21, Russel-Silver, Noonan, Prader Willi, DiGeorge all have _____ Dysmorphic features
Proportionate
Growth Hormone is released in a _____ pattern
Pulsatile
Short Stature is defined as height less than _______
2 Standard Deviations Below the mean
How will Familial Short Stature show on the growth curve?
Consistently steady and below the curve, otherwise follows the normal shape
Levodopa, clonidine, glucagon, and arginie all stimulate ____ hormone
Growth
Obese patient due to endogenous boost of Glucocorticoids growth chart: will have an increase in weight with Heigh following which possible pattern?
LINEAR Growth failure
What height are klinefelter’s patients?
Tall