Disorders of growth

Published on 02/03/2015 by admin

Filed under Endocrinology, Diabetes and Metabolism

Last modified 02/03/2015

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CHAPTER 25

Disorders of growth

1. Summarize normal growth velocity for children until the pubertal growth spurt.

2. Summarize growth velocity during the pubertal growth spurt.

3. How is height measured accurately?

4. What technique is used for infants up to 2 years of age?

5. Describe the technique for children 2 years of age and older.

6. How is height recorded?

7. List the common errors in plotting growth charts.

8. What is meant by “appropriate growth chart”?

9. How do age and position affect growth measurements?

10. What historic information is necessary for interpreting a growth chart?

11. What physical examination findings help interpret a growth chart?

image Signs of chronic illness

image Stigmata of a syndrome

image Specific signs of hormonal abnormality (thyroid deficiency, growth hormone [GH] deficiency, glucocorticoid excess)

12. How does radiologic imaging help interpret a growth chart?

13. Explain the significance of parental target height or “midparental height.”

14. What is the most important factor in identifying an abnormal growth curve?

15. What causes abnormal growth in children?

16. Which syndromes are associated with abnormal growth?

17. List nonendocrine diseases and treatments that may be associated with poor growth.

18. Using the tools of growth curve, bone age, and height, how does one distinguish between familial (genetic) short stature and other causes?

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