Evaluation of Short stature (Dao) - MT Flashcards Preview

Endocrine II - Exam 2 > Evaluation of Short stature (Dao) - MT > Flashcards

Flashcards in Evaluation of Short stature (Dao) - MT Deck (15):
1

Sometimes the only presenting signs of Turner Syndrome are what?

- Short stature

and/or

- Delayed puberty

2

What is usually the sex of a child with Turner syndrome?

Female

(typically with delayed puberty, often infertile)

3

What is the single most important factor in evaluating growth of a child b/t the age of 2 and onset of puberty?

Abnormal growth Velocity

4

What is the definition of Constitutional delay of growth and puberty?

Normal height for bone age, but not for chronological age

5

What is a pertinent indicator for Constitutional delay of growth and puberty in a child's history?

Family history positive for delayed growth or puberty

6

What should your response to the parent be if their child has been diagnosed with Constitutional delay of growth and puberty? 

Reassure and monitor growth q6 months

7

What is the most common cause of growth failure world wide?

Malnutrition (undernutrition)

8

How does Renal disease cause growth failure?

Renal disease:

Renal failure--> malabsorption--> RTA--> Rickets

9

Most endocrine disorders are characterized by what PE finding?

What PE finding charasteristics suggest genetic condition?

1 - increased weight for height (obesity)

2 - Abnormal body proportions

10

What is the diagnostic test used to evaluate Turner syndrome?

What will you find in the result of this test?

1. Karyotype

2. 45, X

11

What further testing should be done in the face of height pathology and Turner syndrome?

Growth Hormone Stimulation testing under guidance of endocrinologist

12

Continued monitoring of patients with short stature should include what screen, and how often should it be done?

- Growth velocity

- every 6 months

13

What disease does this growth chart indicate?

Q image thumb

Benign familial megalcephaly

14

What does this growth chart indicate?

Q image thumb

Hydrocephalus

15