Growth monitoring is increasingly being carried out by primary health care teams and forms a key part of the National Guidelines on Child Surveillance. A Clinicians' Guide to Growth Disorders presents current knowledge in a compact and user-friendly format providing primary care workers who detect growth abnormalities with practical, clinical guidance.
The book follows the ""Clinicians' Guide"" format and is written in a digestible style with an attractive layout. It provides a comprehensive account from a physician's viewpoint of growth disorders in children - including growth abnormalities such as delayed and precocious puberty, obesity and failure to thrive. Correct growth measurement is explained in depth with detailed examples before focusing upon the many pathologies that affect growth and how careful examination and assessment of pubertal status in a child may oftne reveal the cause. The practical approach is maintained by emphasizing diagnostic steps and appropriate treatment for these disorders such as counselling and referrals to specialist centres. Written primarily for primary care physicians, community paediatricians, auxologists and health workers it is also highly suitable for trainee paediatricians and endocrinologists.
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Für höhere Schule und Studium
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ISBN-13
978-0-340-76237-0 (9780340762370)
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Schweitzer Klassifikation
Part 1 - Introduction
The physiology of growth
Foetal
Infantile
Childhood
Pubertal growth and final height
Sexual development
Part 2 - Measurement
Weight
Length
Height
Head Circumference (OFC)
Parental size
Past measurements
Special measurements - crown-rump length
sitting height
Body Mass Index (BMI)
Skinfold thickness
Bioelectrical impedance
Span
Body segments
Bone age or skeletal maturity
Part 3 - Growth charts and how to use them
Standards and plotting
Elementary statistics (percentiles, Z scores)
Target height & OFC
Height velocity
Height with respect to skeletal and sexual maturity
Tempo of growth
What information can you get from a growth chart
Community screening
Part 4 - Short stature
History and examination of the short child
Sexual maturity
Causes of short stature
Diagnostic algorithm
Short and thin
Short and fat
Short with abnormal features
Short with short limbs
Short backed short stature
Investigation of short stature
Psychosocial aspects of short stature
Part 5 - Delayed puberty
History and examination
Hypergonadotropic hypogonadism
Hypogonadotropic hypogonadism
Therapy of delayed puberty
Part 6 - Tall stature
History and examination
Diagnostic algorithm
Idiopathic tall stature
Primary tall stature - proportionate with intellectual deficit
Disproportionate with normal intellect
Secondary tall stature - early
late
Investigation of tall stature
Treatment of ta
