PSYCH 2B03 Lecture Notes - Lecture 7: Gonadal Dysgenesis, Hypoglycemia, Phos
13 Aug 2020
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Has she always been short or small? (constitutional short stature) Is she falling behind her peers? (height falling off centiles as in growth hormone deficiency) Was she a normal birth and delivery? (ask about birth- weight). Is there any history of chronic illness? (e. g. coeliac disease, cf) How tall are her parents? (familial short stature) What is the social background and family relationships? (emotional neglect or other forms of child abuse are causes of psychosocial short stature) Parent centiles: measure her parents" height and plot them on the growth chart. Estimate mid-parental height: to estimate the adult height potential, calculate the mid-parental height (mph): Father"s height plus mother"s height divided by 2. Then adjust for the sex of the child: Identify the mid-parental centile, i. e. the centile nearest to the mph. The target centile range (tcr) is encompassed by mph: Dysmorphic features: these might identify a syndrome. Weight: endocrine causes of short stature are often associated with increased weight.
