TY - CHAP M1 - Book, Section TI - Normal Growth and Growth Disorders A1 - Pinhas-Hamiel, Orit A1 - Czernichow, Paul A1 - Zeitler, Philip A1 - Allen, David B. A2 - Kappy, Michael S. A2 - Allen, David B. A2 - Geffner, Mitchell E. PY - 2013 T2 - Pediatric Practice: Endocrinology, 2e AB - Growth is a dynamic process influenced by many intrinsic and extrinsic factors that interplay to determine not only ultimate attained height but also the tempo and timing of increase in height. Research continues to unravel hormonal and genetic complexities that account for variations in “normal” growth, and etiologies for disordered growth. Careful tracking of childhood growth is a sensitive indicator of health and well-being, and therefore an essential component of sound pediatric care. Detection of unexplained acceleration or deceleration in growth rate or tracking along a disparate percentile considering family height genetics should prompt investigation. Endocrine disorders comprise an important, but only partial, differential diagnosis of abnormal growth. This chapter discusses essential components of normal growth, the detection and evaluation of worrisome growth, and diagnosis and treatment of its multiple etiologies. The ultimate goal is to provide for those caring for children a conceptual framework for the assessment of and diagnostic approach to the child with abnormal growth. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1102502970 ER -