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Approach to a child with short stature, Reference: Diagnostic approach to…

- - - - Normal
        
        Is it a normal physiological variant?
        
        Constitutional delay
        
        Determine bone age
        
        Bone age less than chronological age
        
        Is the projected height normal?
        
        1 more item...
        
        Familial short stature
        
        Determine mid parental height
        
        What is the projected height?
        
        Within 2SD of mid parental height
        
        1 more item...
      - Abnormal
        
        Is it a pathological cause?
        
        associated systemic features*
        
        Chronic diarrhea
        
        Shared care with Pediatrics
        
        Recurrent chest infections
        
        Dysmorphic features
        
        Joint pain/Arthralgias