4th Pediatric Infectious Diseases Conference
 
 
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Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
APPROACH TO A CHILD WITH SHORT STATURE
Approach to Child with Short Stature
Dr Swati Joshi,
Lecturer (Endocrinology and Epilepsy)
B J Wadia Hospital for Children,
Mumbai.




Growth is an important objective parameter of general health of a child. Short stature is a common problem encountered by practicing pediatricians. The etiology of short stature ranges from normal variants like familial short stature (FSS) & constitutional growth delay (CGD) to pathological conditions like endocrine & systemic disorders. Fortunately, the normal variants form the commoner causes and can be suggested by basic tools like anthropometric data and bone age. However, the distinction between normal & abnormal growth can be difficult at times

Short stature may sometimes be the only obvious manifestation of endocrine conditions & systemic diseases

Definition :

A child is considered short if :-

Child with Short Stature
His height is less than 3rd percentile or 2 standard deviations below the mean height for that age.
Child with Short Stature
Even if the height is within normal percentiles but growth velocity is consistently below 25th percentile over 6-12 months of observation.
Child with Short Stature
If the patient is excessively short for the mid-parental height, though his absolute height may be within the normal percentiles.

Useful point to note : 80% of children with height less than 3SD below mean have pathologic Short Stature whereas 80% of children with height less than 2SD usually have normal variant Short Stature.

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