Growth Problems

Clerkship

Lecture materials and small group cases are posted here for University of Calgary Cumming School of Medicine students. Access to these materials are password protected.

Objectives

By the end of the Paediatric Clerkship, a medical student will be able to:

1. Accurately plot and interpret a growth curve.
2. Clinically recognize familial short stature and constitutional growth delay.
3. Identify a patient with, and list a differential diagnosis for, failure to thrive and obesity.
4. Describe the physiological and psychological consequences of obesity and malnutrition.
5. Recognize that there are specific growth charts for some syndromes with abnormal growth (examples: Turner syndrome, Down syndrome).

Half Day Cases

• A 7 year old girl presents with short stature. Her parents are concerned that she has always been the smallest in her class. In clinic today, her height is 115 cm and her weight is 20 kg. Her father’s reported height is 175 cm and her mother’s reported height is 155 cm.
• A 12 year old boy, who is a hockey player, presents with concerns of being short and having no signs of puberty yet. His father remembers having a late growth spurt at age 16 years and is now of average height.
• A 5 year old girl is referred for poor growth. She has been falling off the curve for both weight and height.
• An 8 year old boy presents for a routine assessment and is noted to have gained weight since his last visit.
• A 6 month old girl with Trisomy 21 is referred for poor growth. Height 60 cm and weight 5 kg.
• An 8 year old girl presents with short stature and a height of 105 cm. The family reports that she has a history of multiple otitis media and learning difficulty in math.