Growth Delay: Diagnosis & Management- Pediatric Endocrinology | Lecturio

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This video “Growth Delay: Diagnosis & Management” is part of the Lecturio course “Pediatrics” ► WATCH the complete course on lectur.io/peds21
► LEARN ABOUT:
Constitutional growth delay
Other labs you might get
Testing growth hormone deficiency
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Your tutor is Brian Alverson, MD. He is the Director for the Division of Pediatric Hospital Medicine at Hasbro Children's Hospital and Associate Professor of Pediatrics at Brown University in Providence, RI. He has been active in pediatric education and research for 15 years and has won over 25 teaching awards at two Ivy League Medical Schools. Dr. Alverson has extensive experience in preparing students for the USMLE exams and has test writing experience as well.
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Tracking Growth, Understanding Short Stature and Growth Delay in Children
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[@dontwastetimeyouarelosingr8172]

Yeah you are right I am 16 and I looks like 14 😫 when I was 14 I was looks like 12 year old kid 😓 everybody thinks that I am in class 6 but I was in class 8 that Time

[@kashfiaislam9995]

Rapper Machine Gun Kelly was on the 50th percentile for height when he was a child in elementary and middle school. Rapper Machine Gun Kelly had a huge growth spurt when he was a teenager in high school. Rapper Machine Gun Kelly is now on the 98th percentile for height for an adult man. Is it unusual that rapper Machine Gun Kelly went from the 50th percentile for height to the 98th percentile for height?

[@adityasomde8974]

Same

[@seankang8318]

Best explanation of CGD

[@larica208]

I stopped growing when I was 14 and I am only 5'3... It really sucks to be short. I wish that I am still growing but no...

[@neharabantuas7257]

I’m 21 but i have height of 5’0 🥲

[@larica208]

@@neharabantuas7257 Well I know. There is not much difference in our height I think. But the bigger problem is that I have really large thighs and it makes me look even shorter. People say I look like I am 4'10 or something like that. It really sucks but I guess that there shall always be someone who will accept you the way you are 😄😄😄

[@seannoone2474]

Im 17 nearly 18 at that hight

[@floatyseagull9472]

Will i be able to do this? I'm 17 male and i stopped growing at 15 and im 5'6. My dad told me he had this "2nd growth spurt" 19-20 yrs old where he grew 2 inches

[@josephnash4020]

Thats what my dad tells me but I don’t know whether to believe it tbh

[@hehe8700]

Same here I stopped growing at 13 I don't know what to do

[@BradleyCaban]

It’s rare but you can have a slight spurt around 19-20 your genitals can also grow a bit more during that period..

[@floatyseagull9472]

@@josephnash4020 yeah prob cap

[@kashfiaislam9995]

Rapper Machine Gun Kelly was on the 50th percentile for height when he was a child in elementary and middle school. Rapper Machine Gun Kelly had a huge growth spurt when he was a teenager in high school. Rapper Machine Gun Kelly is now on the 98th percentile for height for an adult man. Is it unusual that rapper Machine Gun Kelly went from the 50th percentile for height to the 98th percentile for height?

[@tooslimey2272]

I’m 16 and my bone age is 10 and I’m 5’7 so I would’ve never known if I didn’t get it checked

[@bdbgames1075]

@Diyar Demir I have been the same height for 2-3 years and I’m 16 and I feel like I’m definitely more flexible than my peers. 5-7 btw

[@bdbgames1075]

@Diyar Demir does this mean it will effect every aspect of our body?

[@chrahiwa1322]

thank you lecturio

[@andrewrenton3730]

I’m 14 and just hit 5ft

[@bababoo2899]

What are you now?

[@stylomojo]

Im 29, my height achieved at 14 year old and 5feet3 my. Hand seem bigger but arm so skinny. How to treat this doc please?

[@roufeyel7866]

Muscle mass. Just hit the gym

[@kashfiaislam9995]

Rapper Machine Gun Kelly was on the 50th percentile for height when he was a child in elementary and middle school. Rapper Machine Gun Kelly had a huge growth spurt when he was a teenager in high school. Rapper Machine Gun Kelly is now on the 98th percentile for height for an adult man. Is it unusual that rapper Machine Gun Kelly went from the 50th percentile for height to the 98th percentile for height?

[@alifarmancreation9136]

I am 17 and i am 5'7''

[@purplishap7680]

I think i have adelayed growth spurt because i notice my classmate rose up when i step up 13, then i feel a little shame because i am quite small so i search the remedies on how to grow taller in the internet, lately this year i have grown only about 1cm, even if i perform the routines well....i start thinking maybe i may not grow now...what do i do? I am 14 just 144 tall.

[@saintJoselittle76]

rizz _blink It depends on your genes.If you are a male then you should likely to end up like your father's height,it was written in your DNA since you were born on what height will you end up to.you can also estimate your height when you were 2 years old and multiply it by 2,you'll surely end up there

[@cryptojonny6837]

@@saintJoselittle76 not always cause our grandparents and ancestors genes plays a role too so its unpredictable. I am between my parents heights but I am 3 inches below my fathers height. I pray that I get someone taller in my family.

[@roufeyel7866]

Im 14 and 145cm too

[@nanduthalange7736]

You need to see a paediatrician or paediatric endocrinologist and have a bone age x-ray [as a starting point]. If there are no signs of puberty yet, you likely have constitutional delay in growth and adolescence. If you are progressing well in puberty, then you may have a growth hormone problem [or other health issue affecting growth].

[@roufeyel7866]

@@nanduthalange7736 i did that test and they said the only way to grow is by doing hgh injections😪😪

[@nanduthalange7736]

I don't agree with only measuring TSH in children who are abnormally short. A pituitary or hypothalamic tumour will impair TSH production [which usually will look falsely normal], whereas free T4 will be low.

[@kashfiaislam9995]

Rapper Machine Gun Kelly was on the 50th percentile for height when he was a child in elementary and middle school. Rapper Machine Gun Kelly had a huge growth spurt when he was a teenager in high school. Rapper Machine Gun Kelly is now on the 98th percentile for height for an adult man. Is it unusual that rapper Machine Gun Kelly went from the 50th percentile for height to the 98th percentile for height?

[@shahsoarrogant7770]

16 and I’m 5’3 rn I hope I get to 5’7

[@ckeyyy]

bruh same i am also 5 3 and im 16 too im not growing anymore and im sick of this stupid logic i want to kill my self bc of this

[@maxpro8575]

@@ckeyyy bro enjoy your like Kevin hart is 5,3 and he’s happy asf

[@edissongonzalezsalazar]

@@ckeyyy bro wanna talk? i’m 5’3 @ 16 too let’s talk abt it ig:e_dd_y_

[@johnd1635]

How tall are you now?

[@kavi20028]

what is your height now

[@deepfriedthursdays]

I'm 5'2. I was gonna be on hgh until my bones fused at 14. I'm still mad to this day, I was supposed to be 5'8-5'10 :|

[@jurupsacocksura2156]

is the greaulich and pyle accurate for height prediction?

[@nanduthalange7736]

The G&P bone age system is the most accurate for height prediction

[@AshlynPlayz]

I don't know if anyone can/will answer this but by your definition of bone age for CGDP being 2 yrs or greater, then a boy who has a BA that is 6 months delay is considered short stature. Can there also be a "mild CGDP?" I am hoping he will grow to average height. Thanks!

[@nanduthalange7736]

Yes, you can have mild "delay," [though it is within the normal range of human variation, and so is not abnormal]. In general shorter children are delayed and taller children are advanced relative to average bone age. You can use a free "app" from Visiana to accurately predict final height with a high degree of confidence, provided you have an accurate height measurement and Bone Age: www.bonexpert.com/ahp/#/Male/CauEurN/-/-/-/-/-

[@kashfiaislam9995]

Rapper Machine Gun Kelly was on the 50th percentile for height when he was a child in elementary and middle school. Rapper Machine Gun Kelly had a huge growth spurt when he was a teenager in high school. Rapper Machine Gun Kelly is now on the 98th percentile for height for an adult man. Is it unusual that rapper Machine Gun Kelly went from the 50th percentile for height to the 98th percentile for height?

[@omdewangan4244]

@@kashfiaislam9995 r

[@venkybly]

Tq

[@MrApplewine]

Acting like height is equally important for men and women is not being honest. If a boy is 15 and still hasn't had a growth spurt, is below 5'8", and 4 inches away from their genetic potential, then I think it is time to take growth hormone or at least do a nocturnal growth hormone test, which is never done. I'd like to see the studies that growth hormone only adds 2 cm even in people who are deficient. Also, why not at least prescribe melatonin to improve sleep and boost growth hormone early if they are short from a young age. That costs hardly anything. Also, strength training and increased calories from fat and removing wheat to prevent celiac, and prescribing at least 10,000 IU D3 per day, and K2. There are plenty of things to at least try. This wait and see is stupid.

[@johnd1635]

how much can crohn s disease affect your height?

[@corsicamurakami5105]

you must not have heard of a thing called side effects from long term exposure to hormones. ever read the label on those melatonin bottles? they discourage use past 6 months. can affect liver etc. you gonna do more harm to your body than good coming to conclusions like this without thorough research about the validity of information you are putting out. also, celiac disease is hereditary. there's no "preventing" it. you manage it. get educated

[@xiuqinzheng2112]

Do all children get a growth spurt? How can you tell and when does it end??

[@BradleyCaban]

Growth spurt is when in the middle of puberty, rapidly there’s bone growth, like fast height increase and it may be painful for some days.

[@kashfiaislam9995]

Rapper Machine Gun Kelly was on the 50th percentile for height when he was a child in elementary and middle school. Rapper Machine Gun Kelly had a huge growth spurt when he was a teenager in high school. Rapper Machine Gun Kelly is now on the 98th percentile for height for an adult man. Is it unusual that rapper Machine Gun Kelly went from the 50th percentile for height to the 98th percentile for height?

[@kashfiaislam9995]

@@BradleyCaban Rapper Machine Gun Kelly was on the 50th percentile for height when he was a child in elementary and middle school. Rapper Machine Gun Kelly had a huge growth spurt when he was a teenager in high school. Rapper Machine Gun Kelly is now on the 98th percentile for height for an adult man. Is it unusual that rapper Machine Gun Kelly went from the 50th percentile for height to the 98th percentile for height?

[@raoulkhaleb7258]

I have a little stones in my chest? What are they?

[@maxpro8575]

Go to a doctor bro

[@dylansylvan6398]

I'm not sure if it's morally right to treat your gunshot wound, it's too expensive and you might get scarring from the stitches

[@jamalahmad8022]

if a persone his age is 29 he still not hit puberty or his bone are not growing with his age what doc should he contct

[@nanduthalange7736]

That person needs to see an endocrinologist. There is likely a problem with the pituitary gland or the controlling region above it, called the hypothalamus

[@maxpro8575]

@@nanduthalange7736 hi , I’m 18 and my bone age is 15 my height is 160 what’s my potential height

[@nanduthalange7736]

@@maxpro8575 This depends on ethnicity, parents’ heights and gender, but assuming you are male (apologies if not), Northern European, then your Predicted final height is around 164 +/- 1.5cm

[@maxpro8575]

@@nanduthalange7736 dad 170 cm mum 160 and I’m mixed black and white

[@kashfiaislam9995]

Rapper Machine Gun Kelly was on the 50th percentile for height when he was a child in elementary and middle school. Rapper Machine Gun Kelly had a huge growth spurt when he was a teenager in high school. Rapper Machine Gun Kelly is now on the 98th percentile for height for an adult man. Is it unusual that rapper Machine Gun Kelly went from the 50th percentile for height to the 98th percentile for height?

[@unavailablehouse6181]

im 12 and still 4'11

[@mew.shroom]

I'M 13 AND 4'' EXACTLY

[@unavailablehouse6181]

@@mew.shroom my birthday already passed so im 13

[@mew.shroom]

@@unavailablehouse6181 height nowwww?

[@unavailablehouse6181]

@@mew.shroom i only grew 1 inch the past 3 weeks

[@mew.shroom]

@@unavailablehouse6181 bless you

[@treyasmr653]

I’m not growing anymore

[@Linothefridge]

Same bro you’re not alone just wait

[@Jackster710.]

Same and I'm scared