The following symptoms and complaints may co-occur with tall stature: Leading symptom Height below the 3rd percentile* . Associated symptoms Postural abnormalities, if any If necessary, back pain Etc. (see under the respective differential diagnosis). Note: Of importance is the longitudinal growth. The following questions arise: Is the growth rate low? Is the child growing … Short Stature: Symptoms, Complaints, Signs
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and the mucous membranes Gait pattern (fluid, limping) Body proportions [dysproportionation? Higher ascender or descender?] Body posture (upright, bent, gentle posture). Inspection and palpation (palpation) of the mammae … Short Stature: Examination
2nd order laboratory parameters – depending on the results of the medical history, physical examination, etc. – for differential diagnostic clarification FSH, LH Somatotropic hormone* (STH) (synonyms: somatotropin; English somatotropic hormone; HGH or hGH (human growth hormone), GH (growth hormone), growth hormone). Serum IGF-I (insulin-like growth factor-I; somatomedin)* . IGFBP 3 (insulin-like growth factor binding … Short Stature: Lab Test
Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Skeletal maturity determination to assess bone age and to determine growth duration and expected body size. Magnetic resonance imaging of the skull (cranial MRI, cranial MRI or cMRI) – in 99% of … Short Stature: Diagnostic Tests
