SHORT STATURE

Short Stature Height <3rd Percentile Detailed History, Physical Exam, and Mid-Parental Target Height Concerning symptoms: Low weight, dysmorphic, delayed puberty Pathological Disproportionate Skeletal Dysplasias (e.g., Achondroplasia) Rickets Proportionate Dysmorphic Trisomy 21 Turner Syndrome Prader-Willi Syndrome Russell-Silver Syndrome Non-Dysmorphic Non-pathological/Normal variant Otherwise well Assess bone age Bone Age = Chronological Age → Familial Short Stature* Bone Age < Chronological Age → Constitutional Delay* Weight disproportionately low (<3rd %) Psychosocial Nutrition and Feeding issues Neglect Disordered Eating Chronic Disease GI (i.e., Celiac Disease, IBD*) Renal (e.g., Renal failure) Cardiopulmonary (i.e., Cystic Fibrosis, Congestive Heart Failure) Iatrogenic Chronic steroid use Radiation and Chemotherapy Bone Marrow Transplant Weight appropriate for height Endocrinopathy Hypothyroidism Cushing’s Disease Growth Hormone Deficiency Congenital Adrenal Hyperplasia Panhypopituitarism Intrauterine Insults Intrauterine Growth Retardation/Small for Gestational Age Fetal Alcohol Spectrum Disorder *Indicates Key Condition This is not an exhaustive list of medical conditions.