Growth And Puberty - pediagenosis
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Thursday, October 18, 2018

Growth And Puberty

Growth And Puberty
Accurate measurement of growth is a vital part of the assessment of children. In order to interpret a child's growth, measurements must be plotted on a growth chart. If there is concern about growth, the rate of growth must be assessed by measuring the child on two occasions at least 4–6 months apart.

Examples of growth charts
Premature baby
Coeliac disease
   Note fall-off in weight at time of weaning when wheat was introduced
   The fall-off in length follows later

Intrauterine growth retardation (IUGR)
   Low birthweight baby
   Many IUGR babies show catch-up but this baby clearly has not, and may have reduced growth potential
  The IUGR probably started early in pregnancy because head circumference and length are also affected

Puberty is evaluated by clinical examination of the genitalia, breasts and secondary sexual characteristics. The scale used is known as Tanner staging.

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