Peds Growth Flashcards
Equation for BMI?
Mass divided by height^2
What is normal weight for kids 2-18?
BMI is 5-85 percentile
What is normal growth for 6 years old to puberty?
2 inches per year
What is a good definition for mid parental height and how do we calculate it for boys and girls?
Genetic potential. Good guess of how tall the kid will be when they are done growing.
Boys= add mom and dads height then add 5 and then divide the whole thing by 2.
Girls= add mom and dads height then minus 5 and then divide the whole thing by 2
What am I thinking is the problem if I am looking at a growth chart and the growth curve is falling off too quickly first? Length falls of first? Head circumference falls off first?
Nutrition
Endocrine
Primary failure of brain to grow or severe craniosynostosis
What is the correct way to measure bone age?
X ray left hand and wrist and compare to standards.
What is considered delayed bone age?
Two standard deviations below the chronological age?
Two most important elements to developing the differential diagnosis and guiding work up for abnormal growth?
History and physical exam
When using the 0-36 month curves, how do you measure length?
Laying down
When using the 2-20 year chart for growth, how do you measure stature?
Standing up
What can we sometimes see in the first 18 months of life on the growth curve?
This downward shift when they shift to table foods.
What do we call a constitutional growth delay chart?
This kid is a late bloomer.
What is familial short stature?
Whole family is short/small
How do we define precocious puberty?
Early puberty
What are two definitions to define short stature?
Two standard deviations below mean height for age and sex, which is less than the 3rd percentile
Height is two standard deviations below mid parental height
