Paeds Vivas · endocrinology-diabetes-and-growth
Short stature and poor linear growth — viva
Branching structured oral on the assessment, differential and management of the short child.
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Target exams
RACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Examiner hands you a growth chart showing a child whose height centile has fallen, and asks you to work through the assessment, differential and management.
Stem
You are the paediatric registrar in clinic. The examiner asks you to assess a child whose growth chart shows the height centile falling, and to defend your plan. [2]
References6ShowHide
- [1]Cohen P, Rogol AD, Deal CL, et al Consensus statement on the diagnosis and treatment of children with idiopathic short stature: a summary of the Growth Hormone Research Society, the Lawson Wilkins Pediatric Endocrine Society, and the European Society for Paediatric Endocrinology Workshop. The Journal of Clinical Endocrinology and Metabolism, 2008.PMID 18782877
- [2]Barstow C, Rerucha C Evaluation of Short and Tall Stature in Children. American Family Physician, 2015.PMID 26132126
- [3]Growth Hormone Research Society Consensus guidelines for the diagnosis and treatment of growth hormone (GH) deficiency in childhood and adolescence: summary statement of the GH Research Society. The Journal of Clinical Endocrinology and Metabolism, 2000.PMID 11095419
- [4]Murray PG, Dattani MT, Clayton PE Controversies in the diagnosis and management of growth hormone deficiency in childhood and adolescence. Archives of Disease in Childhood, 2016.PMID 26153506
- [5]Hokken-Koelega ACS, van der Steen M, Boguszewski MCS, et al International Consensus Guideline on Small for Gestational Age: Etiology and Management From Infancy to Early Adulthood. Endocrine Reviews, 2023.PMID 36635911
- [6]Jorge AA, Funari MF, Nishi MY, et al Short stature caused by isolated SHOX gene haploinsufficiency: update on the diagnosis and treatment. Pediatric Endocrinology Reviews, 2010.PMID 21150837