Short Stature

Intended Audience:

This online course is designed for pediatricians and family physicians.

Abstract:

Short stature is a common clinical concern in pediatrics and requires a systematic approach to differentiate normal variants from pathological conditions. This session will begin with a review of normal growth patterns in children, including expected growth velocities and the interpretation of growth charts and bone age studies. We will then explore how to distinguish normal variant short stature, such as familial short stature and constitutional delay of growth and puberty, from pathological causes, including endocrine disorders (e.g., growth hormone deficiency, growth hormone insensitivity), syndromic conditions (e.g., Turner syndrome), and chronic systemic illnesses (e.g., inflammatory bowel disease). Through case-based discussions, we will highlight diagnostic strategies such as evaluating growth velocity, assessing bone age, and interpreting relevant laboratory tests (e.g., IGF-1, IGFBP-3, growth hormone stimulation testing). Management approaches will be discussed in detail, including criteria for initiating recombinant growth hormone therapy, appropriate referral to pediatric endocrinology, and prognostic factors that influence final height outcomes. We will also review counseling strategies for families, including discussions around treatment expectations and potential side effects.

Assessment and Earning CME Credit:

This course in English is not CME-accredited. However, it provides valuable educational content that can enhance your knowledge and skills in the subject matter. To receive CME credit for this course in Armenia, you must take the course in Armenian and complete the post-course quiz. You have three chances to achieve a passing score of 70%. Once you pass the quiz, we will send your information to the Armenian Ministry of Health for credits.