Transitions in Care: Screening and Diagnosis of the Short Child– A normal growth pattern is indicative of a child’s good health and is a parameter that should be regularly monitored. Assessment of a child’s growth velocity requires accurate and reproducible height and weight measurements which should be plotted on the appropriate reference charts. A child’s target height can also be estimated based on the midparental height. Short stature, which is defined as a height more than 2.0 SD below the mean for age and gender, can either be a normal variant of growth or be associated with growth failure. Many non-endocrine or endocrine causes can be responsible for poor growth. Once the decision is made by the pediatrician to evaluate a short child, the selection of additional laboratory investigations will be guided by the results of the patient and familial history, physical examination, and growth charts.
Review the causes of short stature or growth failure in the pediatric population
Describe the auxological process and interpretation of results to evaluate the short child
Explain the optimal approach to the treatment and monitoring of the child with growth disorders
1.0 Free CEUs for Nurses