A 9 year old girl is brought to the clinic by her mother because of concerns that she is shorter than other children her age. She has a history of wheezing with viral illnessess as a toddler. Family history reveals that both parents are of average height and the child's sister has asthma. On examination, she is well appearing. Plotting her 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 and nondistended.
Musculoskeletal examination: Unremarkable.
Skin examination: Normal.

 

What is(are) the most important initial investigation(s)?

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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