Failure to thrive
Familial short stature
- Describe how the endocrine system contributes to pubertal development and vertical (linear) growth
- Describe the physiology of pre- and post-natal growth
- Describe the normal pattern of growth velocity in the fetus, infants, children, and adolescents
- Differentiate abnormal growth from normal growth variants
- Describe the physiological and psychological consequences of obesity and malnutrition
Overview & Foundational Knowledge
|Nwosu BU & Lee MM. Evaluation of short and tall stature in children. American Family Physician 2008; 78(5): 597-604.
Evaluation and investigation of abnormal linear growth with calculations of mid-parental height and body proportions.
|Jaffe AC. Failure to thrive: Current clinical concepts. Pediatrics in Review 2011; 32: 100-108.
Excellent review article on failure to thrive.
|Goldstein MA, Dechant EJ & Beresin EV. Eating disorders. Pediatrics in Review 2011; 32(12): 508- 520.
Review article about important history and physical findings in eating disorders as well as the complications and management of anorexia bulimia.
|Bradford NF. Overweight and obesity in children and adolescents. Primary Care. Clinics in Office Practice 2009; 36: 319-339.
Definitions, etiology and management of obesity but uses older Centre for Disease Control (CDC) charts.
|A Health’s Professional’s Guide to using the new WHO growth charts (rather than the old CDC growth charts).
Dieticians of Canada website.This article is a great guide for how to properly assess growth measurements in pediatrics. It includes definitions for classifying normal and abnormal growth; of note, uses the WHO growth charts (which are not necessarily used at all Canadian institutions – see link below)
The Canadian Pediatric Endocrine Group (CPEG) believes that it is optimal to have a single set of growth charts nationally and have therefore officially endorsed the 2014 revision to the WHO growth charts for Canada with a preference for the use of set 2 (see link).
Virtual Patients or Cases
|Allen DB & Cuttler L. Short stature in childhood – Challenges and choices. NEJM 2013; 368: 1220-1228.
This article works through a case and highlights the distinguishing features of familial short stature and constitutional delay – the two most common causes of short stature in children.
Podcasts on failure to thrive and pediatric obesity.