A 7 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 occasional constipation. Family history reveals that both parents are of average height and mom's menarche was at age 14. 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:Unremarkable. 
Abdominal examination: Soft and nontender with no organomegaly.
Musculoskeletal examination: Unremarkable.
Skin examination: Normal.

 

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

Register Now

Why not start keeping score? Registration is quick and easy.

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