- By DR. IPS KOCHHAR Pediatric endocrinologist APOLLO HOSPITAL
- VENUE- KALAM CENTRE KGMU
⌚TIMING- CME- 2:30-5:00 PM
DATE – 22nd April SUNDAY
Wonderful talk by Dr Kochar, His main emphasis was…
- always evaluate when growth is <5cm in a year
- always calculate target height after taking wt and HT.
- also calculate range of target HT which is TH+/- 6 cm
- short stature will be defined when child is below third centile of his growth potential
- in children who are taller for age look for precocious puberty
- those who r tall and have weight age more than height age are obese, tell them to take diet accordingly
- weight age less than height age less than constitutional age more likely nutritional cause
- HA<WA -Check SMR in girls 9-11 yr and boys 11-13 yrs
- no growth after bone age of 14yr in girls and 16 yrs in boys
- if bone AGE is significantly less than chronological age ask for follow up because it happens usually due to endocrinal insufficiency/ deficiency. Also needs workup .
- never say absolute value of HT after assessment.
- if assessment is abnormal always ask for follow up
- never give false reassurance regarding growth if assessment is abnormal and baby is ACTIVE AND PLAYFUL.
- overweight and obesity 23th and 27th adult equivalent BMI respectively.
- all short state girls look for Turner features
- short stature with hemihypertrophy) ;silver Russell syndrome
- GH Stimulation test 2 reading needed to diagnose
- daily dosing needed, SC injection
- Always calculate target height after taking wt and HT.
- also calculate range of target HT which is TH+/- 6.5. . If bone AGE is significantly less than chronological age ask for follow up because it happens usually due to endocrinal insufficiency/ deficiency. Also needs workup .
- Never say absolute value of HT after assessment.
- If assessment is abnormal always ask for follow up,.
- Never give false reassurance regarding growth if assessment is abnormal and baby is ACTIVE AND PLAYFUL.