Growth And Ax In Children-adolescents Flashcards Preview

Jason's MD3 Paeds > Growth And Ax In Children-adolescents > Flashcards

Flashcards in Growth And Ax In Children-adolescents Deck (18):
1

2 types of growth restriction

Failure to thrive: underlying nutrition or chronic disease
Short stature - endocrine

2

When document height and weight in kids?

EVERYTIME!!

3

Why glucocorticoids bad for growth?

Inhibit chondroblastic maturation

4

How to get expected height?

Height of parents and subtract 6.5 girls and add 6.5cm for boys

5

Growth hormone mechanism

GH>GH receptor>IGF-1>Bone>growth

6

New born screening

Cystic fibrosis
PKU

7

Overweight is?

85%-95%

8

Failure to thrive is?

9

Obese is what centile?

>95th %

10

What is the major contributor to growth spurt in puberty?

Estrogen.

11

Determinants of skeletal bone age delayed?

Hypothyroidism, glucocorticoid excess, growth hormone deficiency, chronic disease

12

What causes bone age acceleration

Obesity,
early puberty
Hyperthyroidism
Androgen excess

13

Nutritional causes of growth failure? 3

Undernutrition
Micronutrient deficiencies - iron, Vit D
Gut malabsorption - Coeliac, CF, Crohn's

14

When does growth hormone secrete during 24 hour period?

At night

15

Endocrine causes of short stature?

Hypothyroidism (autoimmune)
GH deficiency
Glucocorticoid excess (GP: if asthma every 4-6 weeks)

16

What do kids with endocrine causes of short stature kids look like BMI wise?

Normal or overweight BMI

17

Why cushing's get muscle mass loss?

Get proteinolysis of muscles

Flat-lining of linear growth

18

Growth with obesity is?

Accelerated