Overview
What is short stature defined?
What is the difference between growth failure (GF) and short stature?
Which lab tests are used to assess short stature?
How is short stature evaluated?
What is the role of recombinant human growth hormone (rhGH) in the treatment of short stature?
What is the role of surgery in the treatment of short stature?
What is the difference between growth failure (GF) and short stature?
What are causes and hallmarks of short stature?
What is the pathophysiology of short stature?
What is the prevalence of short stature in the US?
What is the global prevalence of short stature?
What is the racial predilection of short stature?
What is the sexual predilection of short stature?
Which age group has the highest prevalence of short stature?
What is the prognosis of short stature?
Where are patient education resources about short stature found?
Presentation
What is the focus of clinical history in the evaluation of short stature?
What are the signs of a GI etiology for short stature?
What are the signs of a cardiac disease etiology for short stature?
What are the signs of an infectious etiology for short stature?
What are the signs of a pulmonary etiology for short stature?
What are the signs of a neurologic etiology for short stature?
What are signs of a renal etiology for short stature?
What are the signs of an environmental etiology for short stature?
How is an accurate and reliable height assessment determined in the evaluation of short stature?
How is growth velocity over time documented in the evaluation of short stature?
How is height assessment performed in suspected short-limb dwarfism?
What is included in the physical exam to evaluate short stature?
What is the role of arm span in the evaluation of short stature?
What is the role of a midface exam in the evaluation of short stature?
DDX
Which GI conditions are associated with short stature?
What are the endocrine causes of growth failure?
What are the genetic causes of panhypopituitarism in patients with short stature?
Which endocrine conditions are associated with short stature?
What are the genetic causes of normal variant short stature?
Which conditions are associated with short stature?
What are the differential diagnoses for Short Stature?
Workup
What is the role of lab testing in the evaluation of short stature?
What is the role of imaging studies are in the evaluation of short stature?
What is the role of a hearing test in the evaluation of short stature?
How is the Bayley-Pinneau method of height predication used in the evaluation of short stature?
Which provocative tests are performed in the evaluation of short stature?
Treatment
What is the efficacy of medical treatment for short stature?
What is the role of surgery in the treatment of short stature?
Which specialist consultations are beneficial to patients with short stature?
Which dietary modifications are used in the treatment of short stature?
Which activity modifications are beneficial in the treatment of short stature?
What are the possible complications of short stature?
How is short stature prevented?
What is included in the long-term monitoring of patients with short stature?
Guidelines
Medications
Which medications are used in the treatment of short stature?
Which medications in the drug class Growth Hormone are used in the treatment of Short Stature?
-
Proper use of a wall-mounted stadiometer.
-
Comparison of the growth patterns between idiopathic short stature and constitutional growth delay.
-
Bone age comparison between an 8-year-old boy (left) and a 14-year-old adolescent boy (right).
-
Growth chart for Turner syndrome. Note that the upper limit overlaps the range for girls of normal height.
-
A single, central, maxillary incisor reflects a defect in midline facial development.