RT Book, Section
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.
SR Print(0)
ID 1102502970
T1 Normal Growth and Growth Disorders
T2 Pediatric Practice: Endocrinology, 2e
YR 2013
FD 2013
PB McGraw-Hill Education
PP New York, NY
SN 9780071813174
LK accesspediatrics.mhmedical.com/content.aspx?aid=1102502970
RD 2024/04/24
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.