Short stature Flashcards
What is classified as a short stature?
A height more than 2 standard deviations below the average for their age and sex.
Below the 2nd centile
What is a child’s predicted height based on?
Their parents’ height, measured in centimetres.
What is the height prediction formula for boys?
Boys: (mother height + fathers height + 14cm) / 2
What is the height prediction formula for girls?
Girls: (mothers height + father height – 14cm) / 2
What are the possible causes of short stature
- Familial short stature
- Constitutional delay in growth and development
- Malnutrition
- Chronic diseases
- Endocrine disorders
- Genetic conditions
- Skeletal dysplasias
What chronic diseases could contribute to short stature?
Coeliac disease
Inflammatory bowel disease
Congenital heart disease
What endocrine disorders could contribute to a short stature?
Hypothyroidism
What genetic condition could cause short stature?
Down’s syndrome
What skeletal dysplasia’s could cause short stature?
Achondroplasia
What does a constitutional delay in growth and puberty lead to?
A short stature in childhood when compared with peers but normal height in adulthood.
What does a constitutional delay in growth and puberty cause?
Delayed puberty and a longer lasting spurt during puberty
What is a key feature of a constitutional Delay In Growth and Puberty?
Delayed bone age
How can you estimate the age of a child using imaging?
x-ray images of their wrist and hand by assessing the size and shape of the bones and the growth plates
What is the management of constitutional delay in growth and puberty?
Excluding other causes of a short stature and delayed puberty
Reassuring parents and the child
Monitoring growth over time.
