UW. + nbme 10 101Q - constitutional growth delay Flashcards
UW. CP? 4
Family Hx of ,,late bloomers”
Delayed puberty
Short stature; normal growth velocity
Delayed bone age
UW. Mx? 2
reassurance; watchful waiting
+/- hormone therapy
UW. prognosis?2
puberty onset correlates witg family members
NORMAL EXPECTED ADULT HEIGHT
UW. short stature, defined as?
height at the ≤2nd percentile for sex and age.
UW. Constitutional growth delay can be recognized based on a delayed bone age, with a linear growth velocity starting at age ≥3.
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UW. weight and height at birth?
typically have a normal birth weight and height but show a slowed linear growth velocity between age 6 months to 3 years. This results in height at the ≤2nd percentile.
UW. onset of puberty?
Their puberty (including the adolescent growth spurt) is delayed, and bone age (ie, skeletal maturation) is delayed compared to the chronological age.
UW. However, they eventually have a normal growth spurt and reach a normal adult height.
.
UW. Mx?
Management includes reassurance and monitoring of linear velocity.
UW. contrast to constitutional growth delay, VS familial short stature.
bone age, puberty onset?
have bone age that correlates with chronologic age, and puberty is not delayed
UW. familial short stature.
Hx of what????? in family
Although these patients have normal linear growth velocity (eg, stable percentile) similar to constitutional growth delay, one or both parents also have short stature (unlike in this patient
UW. what about patients with growth hormone deficiency.
Stature, bone, puberty?
Have short stature, delayed puberty, and delayed bone age
UW. what about patients with growth hormone deficiency. what is SLOWED?
However, linear growth velocity is slowed, typically presenting as declining height percentiles crossing 2 major percentiles (ie, 50th, 25th). This patient’s height percentile is stable, indicating a normal linear growth velocity (cia buvo su constitutional growth delay)
