37 terms

Endo 15: Growth Curves

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premature
Turner
Down
Williams
achondroplasia
What are the 5 conditions with separate special growth curves?
5-95th percentiles
What is the normal range of percentiles for growth?
weight = 3.5 kg (7 lb 6 oz)
length = 20 inches
head circumference = 34 cm
What are the average growth parameters for weight, length, and head circumference at birth?
10
We expect term newborns to lose up to ___% of their birth weight in the first few days of life.
14 days
Infant should have gained all birth weight back by _______ days.
1 oz
Normal weight gain is ____ per day for the first 3 months.
20
40
An average 1 year old is ____ pounds, while an average 4 year old is ____ pounds.
40 inches
40 lbs
Average 4 year old is ____ tall and weighs ____.
5-6 cm
Girls and boys in Tanner I phase grow ____ per year.
9.5 years
When do most girls start their big growth spurt?
11.5 years when they grow 9cm a year
When is peak height velocity for girls?
7 cm
After menses, girls' growth slows down to about ___ per year.
11 years
Most boys start their take off growth around ____.
13.5 years when they grow 10.3 cm
When is peak height velocity for boys?
add up parents inches over 5 feet
boy: add 5 and divide by 2
girl: subtract 5 and divide by 2
then add that number to 5 feet
How do you predict adult height?
1 cm
In the first year of life, the head grows ____ per month.
<5th percentile or >95th percentile
What is abnormal growth?
bone age
____ is used to predict height potential and measured by x-ray of the left wrist.
1.7
1.0
The average upper:lower body segment ratio at birth is ____ and decreases to ____ by age 10.
the person's height
What is the average wing span?
failure to thrive
____ is weight less than the 3rd percentile on 3 separate plots or weight crossing 2 percentiles.
inadequate intake
inadequate absorption
genetic disorder
psychosocial factors
What are 4 possible causes of failure to thrive?
familial short stature
____ is caused by short parents and short adult height, but normal bone age and normal puberty onset.
familial tall stature
____ is caused by tall parents and tall adult height, but normal bone age and puberty onset.
constitutional growth delay
____ is characterized by parents with normal adult height and a delay in puberty, but will reach a normal adult height.
Turner syndrome (XO karyotype)
____ is characterized by a short stature, webbed neck, coarctation of the aorta, and lack of secondary sex characteristics.
GH deficiency
____ is characterized by deceleration in growth, a normal weight gain but a very delayed bone age.
macrosomia (above average length and height)
macroglossia
microcephaly
abdominal wall defects
What are 4 characteristics of Beckwith Weidmann Syndrome?
chronic medical conditions
____ causes weight and height to not be equally preserved.
failure to thrive (height maintained but weight not)
What might this growth curve indicate?
obesity
What might this growth curve indicate?
familial short stature (height <5% but weight maintained)
What might this growth curve indicate?
constitutional growth delay (do not reach the curve until late onset puberty)
What might this growth curve indicate?
Turners syndrome or growth hormone deficiency (weight preserved but height not)
What might this growth curve indicate?
Growth Hormone deficiency
What might this growth curve indicate?
chronic medical conditions
(neither height or weight preserved)
What might this growth curve indicate?
4
At what age does head/brain stop growing?