A 8 year old boy is brought to the clinic by his father because of concerns that he is shorter than other children his age. He has an unremarkable past medical history. Family history reveals that both parents are of average height and the child's sister has asthma. On examination, he is well appearing, but looks younger than chronologic age. Plotting his growth reveals the following: Height and weight have been following along the third percentile since infancy.

Respiratory examination: Normal. 
Cardiovascular examination:Normal. 
Abdominal examination: Soft with no organomegaly.
Musculoskeletal examination: Unremarkable.
Skin examination: Unremarkable.

 

What is/are the most appropriate initial step(s) in management? Check all that apply.

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Authors

Dr. Joanna Holland

joanna.holland@iwk.nshealth.ca

Dr. Karen Forbes

Reviewers

Dr. Mumtaz Virjii

mvirji2@cw.bc.ca

Dr. Theresa Wu

theresa.wu@ahs.ca