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Short Stature tall stature 13 .pdf



Original filename: Short Stature _ tall stature-13.pdf
Title: Short Stature-13
Author: rasel

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Short Stature-13
Prof A K M Musa
Prof of Medicine
BIRDEM & IMC

Tall Stature













Constitutional Tall Stature
Familial Tall Stature
Growth Hormone secreting tumors (Gigantism)
Thyrotoxicosis
Marfan Syndrome
Homocystinuria
Cerebral Gigantism (Soto Syndrome)
Beckwith-Wiedemann Syndrome
Congenital Adrenal Hyperplasia (Untreated, pubertal)
Klinefelter Syndrome
Obesity
Precocious Puberty

• Evaluation
• Assess parental heights!
– See Midparental Height








Weight Measurement in Children
Height Measurement in Children
Body Mass Index
Weight for Height Age
Dysmorphic features in Congenital Dysorders
Upper to Lower Segment Ratio








Labs: Specific
Growth Hormone Level (Gigantism)
Thyroid Stimulating Hormone
Amino acid screen (Homocystinuria)
Chromosome Karyotype (Klinefelter Syndrome)
17-Hydroxyprogesterone (Congenital Adrenal
Hyperplasia)
• Glucose (Beckwith-Wiedemann)
• Androgen and Estrogen levels (Precocious
Puberty


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