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Read e-book online Clinical Rounds in Endocrinology: Volume II - Pediatric PDF

By Anil Bhansali, Anuradha Aggarwal, Girish Parthan, Yashpal Gogate

ISBN-10: 8132228138

ISBN-13: 9788132228134

ISBN-10: 8132228154

ISBN-13: 9788132228158

This e-book on pediatric endocrinology covers attention-grabbing and but usually difficult instances between pediatric sufferers in a different Question-Answer layout. Simulating the bed-side case discussions throughout the ward rounds, one query logically ends up in one other, thereby producing interest and selling evidence-based drugs. Taking the readers in the course of the whole spectrum ranging from etiology and pathophysiology to medical presentation to administration ideas, every one query addresses one key element of the disease. defined in an easy and lucid narrative, this ebook guarantees sound conceptual realizing whereas protecting every one subject comprehensively. This quantity covers very important subject matters akin to brief stature, pubertal problems, thyroid problems, youth Cushing syndrome, rickets and osteomalacia, illness of sexual differentiation and diabetes within the younger. much less universal sickness akin to a number of endocrine neoplasia has additionally been integrated. those instances are usually not simply noticeable through endocrinologists, yet also are controlled via paediatricians, internists, obstetricians and gynaecologists, orthopaedicians and surgeons.

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Example text

17). a b Fig. 17 (a) A 16-year-old child with short stature due to long-standing untreated congenital hypothyroidism. (b) Myxedematous facial features in the same child 1 Disorders of Growth and Development: Clinical Perspectives 39 60. How to optimize growth and development in children with juvenile hypothyroidism? Early diagnosis and optimal replacement therapy result in attainment of normal final adult height in children with juvenile hypothyroidism. Children with longstanding hypothyroidism will experience catch-up growth after initiation of levothyroxine; however, catch-up growth is often incomplete in these patients due to diminished chondrocyte reserve.

1 Disorders of Growth and Development: Clinical Perspectives 31 The differences between FSS and CDGP are summarized in the table given below. Parameters Midparental height Adrenarche Onset of puberty Bone age Correlation among CA, HA, BA Final adult height Familial short stature Short Normal Normal Normal CA=BA > HA Short Constitutional delay in growth and puberty Normal Delayed Delayed Delayed CA > HA = BA Almost normal CA chronological age, HA height age, BA bone age 43. What are the treatment options for children with idiopathic short stature?

Although a height >2SD below the mean for age and gender is used to define short stature, evaluation of short children based on this criteria yields organic etiology only in 14 % of these children. However, when a height SD <−3 is considered for the evaluation of short stature, the proportion of children with organic causes increases to 58 %. Nevertheless, children with height between −2SD and −3SD need careful monitoring for growth velocity, and if they show faltering, they need further evaluation.

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Clinical Rounds in Endocrinology: Volume II - Pediatric Endocrinology by Anil Bhansali, Anuradha Aggarwal, Girish Parthan, Yashpal Gogate


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