Growth

Front 1

Prenatal Growth

Back 1

1.2-1.5 cm / week

Front 2

Infancy

Back 2

23 to 28 cm/ year

Front 3

Childhood

Back 3

5-6.5 cm / year

Front 4

Puberty

Back 4

8.3 cm/year (girls), 9.5 cm/year (boys)

Front 5

Definition of Growth Failure

Back 5

Height below 2rd percentile (2 SDs below average)

Height below genetic potential (2 SDs below mid parental target)

Abnormally slow growth velocity ( <2 inches of < 5 cm/year from ages 3 to puberty)
Downward crossing percentile on growth chart after 18 months

Front 6

Healthy but Short Children

Back 6

- Familial short stature

- Constitutional growth delay

Front 7

Non-organic Etiologies

Back 7

Psychosocial deprivation

Nutritional dwarfing (anorexia nervosa, kwashiorkor, picky eater, fear of obesity, fear of hypercholesterolemia)
Micronutrient deficiency (zinc, iron)

Front 8

Intrinsic Short Stature

Back 8

Small-for-Gestational Age

Genetic Syndromes (Down's, Turner, Prader-Willi)
Achondroplasia/hypochondroplasia

Front 9

Systemic diseases

Back 9

Infectious: HIV, TB

Cardiac

Renal: renal tubular acidosis, chronic renal insufficiency

GI: cystic fibrosis, inflammatory bowel disease, celiac disease, celiac disease

Front 10

Endocrinopathies

Back 10

Early puberty, cortisol excess, hypothyroidism, diabetes, inadequate growth hormone action (growth hormone deficiency or growth hormone insensitivity, Laron types 1 and 2)