The evaluation of any child with short stature must include the following components
The child his birth certificate and his both real parents
The investigations such as
x-ray of left hand and wrist joint postero anterior view
Complete blood count
Urine complete examination new line arterial blood gases
Montox test
Chest x ray Pa view
Serum calcium serum phosphate and serum Alkaline phosphatase levels
serum sodium serum potassium and serum chloride levels
serum creatinine and blood urea nitrogen
II investigations include thyroid profile pelvic ultrasound anti tissue transglutaminase antibody IGM and urine culture sensitivity
The third line investigation is include growth hormone provocation test chromosomal analysis and fish study
No comments:
Post a Comment