Part 2 book “Paediatrics and child health” has contents: Growth, endocrine and metabolic disorders, musculo skeletal disorders, renal and urinary tract disorders, dermatology and rashes, haematological disorders, emotional and behavioural problems, and other contents. | 252 / Part 3: An approach to problem-based paediatrics CHAPTER 13 Growth, endocrine and metabolic disorders Symptoms Short stature Plateauing in growth Weight and growth faltering Obesity The large head The small head 253 256 257 259 262 264 Disorders Constitutional short stature Maturational delay 266 266 I knew a little elfman once Down where the lilies blow. I asked him why he was so small, And why he didn’t grow He slightly frowned, and with his eyes He looked me through and through: ‘I’m quite as big for me,’ he said, ‘As you are big for you.’ John Kendrick Bangs (1862–1922) Non-organic failure to thrive Intrauterine growth retardation Nutritional obesity Congenital hypothyroidism Thyroiditis Growth hormone deficiency Cushing’s syndrome/corticosteroid excess Turner’s syndrome Diabetes mellitus 266 267 267 269 269 271 272 272 273 COMPETENCES You must . . . Know Be able to Appreciate • When a child’s growth is of concern • How to diagnose the common and important conditions responsible for poor growth in infants and children, and the principles of managing them • The causes of poor weight gain in young children and babies • How to advise a child who is suffering from obesity • The principles of managing diabetic ketoacidosis • Plot measures on a growth chart • Weigh and measure a baby and child accurately and correct for prematurity • Calculate BMI • Measure blood glucose using a home monitor • The stress and anxiety of having a child with weight faltering (FTT), especially if there are eating difficulties • The impact that diabetes has on the child and family • The principles involved in managing diabetes • The importance of good diabetic control to prevent complications Paediatrics and Child Health, Third Edition. Mary Rudolf, Tim Lee, Malcolm Levene. © 2011 Mary Rudolf, Tim Lee and Malcolm Levene. Published 2011 by Blackwell Publishing Ltd. Chapter 13: Growth, endocrine and metabolic disorders / 253 Symptoms and signs of growth, .
