Sometimes the only presenting signs of Turner Syndrome are what?
- Short stature
- Delayed puberty
What is usually the sex of a child with Turner syndrome?
(typically with delayed puberty, often infertile)
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
What is the definition of Constitutional delay of growth and puberty?
Normal height for bone age, but not for chronological age
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
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
What is the most common cause of growth failure world wide?
How does Renal disease cause growth failure?
Renal failure--> malabsorption--> RTA--> Rickets
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
What is the diagnostic test used to evaluate Turner syndrome?
What will you find in the result of this test?
2. 45, X
What further testing should be done in the face of height pathology and Turner syndrome?
Growth Hormone Stimulation testing under guidance of endocrinologist
Continued monitoring of patients with short stature should include what screen, and how often should it be done?
- Growth velocity
- every 6 months
What disease does this growth chart indicate?
Benign familial megalcephaly
What does this growth chart indicate?