pediatric growth disorders

Question 1

when do you start taking BMI into consideration?

Answer 1

at age 2

Question 2

what is the average growth rate for kids age 6-11?

Answer 2

5-7 cm /year, or 2-2.5 inches per year

Question 3

what are your concerns if weight is the first thing to fall off the curve?

Answer 3

nutrition causes, nto enoug calories from vomiting, mal absorption, higher nutrition requirments

Question 4

whatdo you think of if length falls off first?

Answer 4

endocrine causes- GH deficiency, hypothyroid, cushings

Question 5

what do you think of if head circumference falls off first?

Answer 5

primary failure of the brain to grow, severe craniosynostosis

Question 6

where do you X ray to get bone age?

Answer 6

left hand and wrist

Question 7

what is delayed bone age?

Answer 7

2 standard deviations below the chronological age

Question 8

what determines the size of newborn/

Answer 8

intruterine environment

Question 9

what is catch up/ catch down?

Answer 9

occurs inteh first 18 months of life, some kids can make a 25% change in weight curve, can be from a decrease in fomrula, start of “real” food, increased activity ( burn more calories)

Question 10

what is the definition of short stature?

Answer 10

height that is 2 standard deviations below the mean height for age and sex

Question 11

what is necesaary for normal function of growth hormone?

Answer 11

normal thyroid homrone levels