Child with short stature Flashcards Preview

Step 2 CS - Minicases > Child with short stature > Flashcards

Flashcards in Child with short stature Deck (3)
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1
Q

Key history in child with short stature

A

Other symptoms (constitutional, GI, cardiac, pulmonary, renal, pelvic, endocrine)
Medications
Prenatal and birth history
Growth history
PMHx
FHx
Cognitive abilities and school performance

2
Q

Key physical exam in child with short stature

A

Vital signs
Height
Weight
HEENT, heart, lung, abdominal and neurologic exams

3
Q

14 yo M with short stature and lack of sexual development
+ birth weight and length were normal, but he is the shortest child in his class
+ father and uncles had same problem, but they are now of normal stature

A
Constitutional short stature
Growth hormone (GH) deficiency
Hypothyroidism
Chronic renal insufficiency
Genetic causes
Cystic fibrosis
Physical exam
CBC
Electrolytes
GH stimulation test
IGF-1, IGFBP-3 levels
TSH, FT4
XR - hand
US - renal and cardiac
Sweat chloride testing
BUN/Cr
Karyotype