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Flashcards in Childhood growth Deck (31)
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1

Average size of newborn

50cm
3.3kg

2

Fctors commonly affecting growth

Nutrition
Hormone issues
Genetic disease

3

Name of hand-held record with growth charts every child has

Red book

4

When does height growth tend to finish

12-16 years

5

What are there centiles for

Height
Weight
Head circumfrence
BMI

6

What is height velocity

cm grown per year

7

When is fastest phase of growth post delivery

First 2 years of life- childrens centiles often vary a lot here then become steady

8

When is another major increase in growth

Pubertal growth spurt- occurs as soon as enter puberty

9

For how long does skeleton develop

Until the end of puberty- epiphyses have fused by now and growth will stop

10

What should happen if concerns over childs growth

Measure and record growth accurately for at least a year

11

Main hormonal growth factor

GH

12

What stimulates GH production from pituitary

GHRH from hypothalamus

13

What affects GHRH production

Negative feedback from IGF 1
Psycosocial factors
Age
Health
Puberty

14

When does most GH release occur

Overnight

15

Where does GH bind

Liver to release IGF1
Muscle
Bone

16

Is IGF 1 protein bound in blood

Yes heavily

17

Genetic disorders causing short stature

Turners
Downs
Achondroplasia

18

What effect does thyroid hormone deficiency have on growth

Short stature

19

Genetic disorders leading to overgrowth

Marfans Syndrome
Soto syndrome

20

Cause of very tall child but small adult

Precocious puberty

21

How is obesity assessed in children

Monitoring their BMI centile

22

Clinical history taken when discussing child development

Any issues whilst fetus
Premature birth?
Postnatal issues
Consanguinity

23

How to examine child development issues

Growth parameters
Dysmorphic features
Neurological examination
Systems examination
Standardised development assessments

24

Examples of standardised developmental assessments

Griffiths
SOGSII

25

What is cerebral palsy

Disorder of movement and posture arising from non-progressive lesion of the brain acquired before age of 2 years- 80% of cases antenatal

26

Problems associated with cerebral palsy

Learning difficulties
Epilepsy
Visual impairment
Hearing loss
Resp problems
Feeding issues

27

Mangement of cerebral palsy

Minimise spasticity
Manage associated problems

28

Features of autism spectrum disorder

Impaired social interactions
Speech and language disorder
Imposition of routine- desire for repeated behaviour

29

Common child development issues

ADHD
Cerebral palsy
Autism spectrum disorder
Learning disability

30

Define normal child development

The global impression of a child which encompasses growth, increase in understanding, acquisition of new skills and more sophisticated responses and behaviour. It serves to endow the child with increasingly complex skills in order to function in society.