DIAGNOSIS STUNTED (HEIGHT); SINCE THE PHASE: INFANT, CHILD AND YOUTH.
EVALUATE THE STUNTED (HEIGHT) IN NEWBORN-INFANT-CHILD-YOUTH, AN INITIAL DECISION MUST DETERMINE WHETHER THE LOWEST STATURE IS PATHOLOGICALLY LOW OR SIMPLY THE CHILD IS ANXIOUS FOR YOUR HEIGHT WHEN IT IS NOT NEAR AS DESIRED 50 PERCENTILE BY PATIENT: FISIOLOGIA- ENDOCRINOLOGY-NEUROENDOCRINOLOGY-GENETICS-ENDOCRINE-PEDIATRICS (SUBDIVISION OF ENDOCRINOLOGY): DR. JOÃO SANTOS CAIO JR. ET DRA. HENRIQUETA VERLANGIERI CAIO.
The unnecessary tests are expensive and can be a source of long-term concern for parents - a concern which could be avoided with the patient being reassured. Furthermore, alternatively, missing a diagnosis of pathological inappropriate growth can make the patient lose his precious cm of final height or lead to disease progression. That being so, the correct is an experienced professional making the introductory diagnosis, laboratory, instrumental and remember that the diagnosis is not for the patient to draw conclusions without knowledge of the facts, it's about him, but to the endocrinologist or neuroendocrinologist reach a satisfactory diagnosis and course in a reliable laboratory tests when necessary. If stature, growth rate and height of the patient adjusted according to the average parental height is sufficiently decreased indicating the need for evaluation, organized approach to diagnosis eliminate the need for unnecessary laboratory tests. The medical history will provide valuable through careful workup information. The birth weight and gestational age are used to determine if the child is SGA (PIG) or AGA and intrauterine life and exposure to toxins as well as the possibility of birth trauma. The assessment of dietary abnormalities and symptoms of any chronic disease are important, since almost all systemic diseases or nutritional problems can reduce the rate of growth in children and youth. It may seem silly or insignificant, however any and all information will be useful to a professional insightful; ask the medical history, previous graphs, birth weight and gestational age, prenatal abuse of exotic substances, trauma or childbirth complications, height family of at least two generations or more, age of puberty, family history. The statures of parents so as the age of onset of puberty are registered although in general, only the mother remember the age of menarche while his father does not remember anything about their pubertal development (mild that the father has continued to grow after leaving school, which may indicate a constitutional delayed puberty). The height of the brothers and especially his height percentiles and entered puberty at the right time is also important. All details of the history are extremely important and can just give out the correct diagnosis by experienced professionals.
EVALUATE THE STUNTED (HEIGHT) IN NEWBORN-INFANT-CHILD-YOUTH, AN INITIAL DECISION MUST DETERMINE WHETHER THE LOWEST STATURE IS PATHOLOGICALLY LOW OR SIMPLY THE CHILD IS ANXIOUS FOR YOUR HEIGHT WHEN IT IS NOT NEAR AS DESIRED 50 PERCENTILE BY PATIENT: FISIOLOGIA- ENDOCRINOLOGY-NEUROENDOCRINOLOGY-GENETICS-ENDOCRINE-PEDIATRICS (SUBDIVISION OF ENDOCRINOLOGY): DR. JOÃO SANTOS CAIO JR. ET DRA. HENRIQUETA VERLANGIERI CAIO.
The unnecessary tests are expensive and can be a source of long-term concern for parents - a concern which could be avoided with the patient being reassured. Furthermore, alternatively, missing a diagnosis of pathological inappropriate growth can make the patient lose his precious cm of final height or lead to disease progression. That being so, the correct is an experienced professional making the introductory diagnosis, laboratory, instrumental and remember that the diagnosis is not for the patient to draw conclusions without knowledge of the facts, it's about him, but to the endocrinologist or neuroendocrinologist reach a satisfactory diagnosis and course in a reliable laboratory tests when necessary. If stature, growth rate and height of the patient adjusted according to the average parental height is sufficiently decreased indicating the need for evaluation, organized approach to diagnosis eliminate the need for unnecessary laboratory tests. The medical history will provide valuable through careful workup information. The birth weight and gestational age are used to determine if the child is SGA (PIG) or AGA and intrauterine life and exposure to toxins as well as the possibility of birth trauma. The assessment of dietary abnormalities and symptoms of any chronic disease are important, since almost all systemic diseases or nutritional problems can reduce the rate of growth in children and youth. It may seem silly or insignificant, however any and all information will be useful to a professional insightful; ask the medical history, previous graphs, birth weight and gestational age, prenatal abuse of exotic substances, trauma or childbirth complications, height family of at least two generations or more, age of puberty, family history. The statures of parents so as the age of onset of puberty are registered although in general, only the mother remember the age of menarche while his father does not remember anything about their pubertal development (mild that the father has continued to grow after leaving school, which may indicate a constitutional delayed puberty). The height of the brothers and especially his height percentiles and entered puberty at the right time is also important. All details of the history are extremely important and can just give out the correct diagnosis by experienced professionals.
Dr. João Santos Caio Jr.
Endocrinologia – Neuroendocrinologista
CRM 20611
Dra. Henriqueta V. Caio
Endocrinologista – Medicina Interna
CRM 28930
Como saber mais:
1. No sexo masculino pré-púbere, a terapia de substituição de testosterona (T) pode ser usada para induzir o desenvolvimento da puberdade, acelerar o crescimento e aliviar as queixas psicossociais dos adolescentes...
http://hormoniocrescimentoadultos.blogspot.com
2. No entanto, alguns problemas nessa gestão ainda estão por serem resolvidos. Estes incluem o tipo, o tempo ideal, a dose e a duração do tratamento com esteróide sexual e o possível uso de terapia adjuvante ou suplementar, incluindo: oxandrolona, inibidores de aromatase e hormônio de crescimento humano-GH rDNA...
http://longevidadefutura.blogspot.com
3. O atraso constitucional do crescimento é caracterizado por idade óssea atrasada, a velocidade de crescimento normal, e uma estatura adulta final prevista apropriada para o padrão familial...
http://imcobesidade.blogspot.com
AUTORIZADO O USO DOS DIREITOS AUTORAIS COM CITAÇÃO
DOS AUTORES PROSPECTIVOS ET REFERÊNCIA BIBLIOGRÁFICA.
Referências Bibliográficas:
Referências Bibliográficas:
Caio Jr, João Santos, Dr.; Endocrinologista, Neuroendocrinologista, Caio,H. V., Dra. Endocrinologista, Medicina Interna – Van Der Häägen Brazil, São Paulo, Brasil; United Nations Children's Fund, World Health Organization, The World Bank; UNICEFWHO- World Bank Joint Child Malnutrition Estimates.); Olivieri, F., Semproli, S.,Pettener, D., & Toselli, S. (2007). Growth and malnutrition of rural zimbabwean children (6-17 years of age). American Journal of Physical Anthropology, 136(2), 214-222. doi:10.1002/ajpa.20797; Nutrition support in adults: oral nutrition support, enteral tube feeding and parenteral nutrition; NICE (2006); Muller O, Krawinkel M; Malnutrition and health in developing countries. CMAJ. 2005 Aug 2;173(3):279-86; Russell CA, Elia M; Malnutrition in the UK: where does it begin? Proc Nutr Soc. 2010 Nov;69(4):465-9. doi: 10.1017/ S00296651 10001850. Epub 2010 Jun 16; Managing Adult Malnutrition in the Community; British Dietetic Association (May 2012); Buckler JM. 1st ed. London: BMJ Publishing Group; 1994. Growth disorders in Children; Rao S. Nutritional status of the Indian population. J Biosci. 2001;26:481–9; Agarwal DK, Agarwal KN, Upadhyay SK, Mittal R, Prakash R, Rai S. Physical and sexual growth pattern of affluent Indian children from 5-18 years of age. Indian Pediatr. 1992; 29:1203–82; Agarwal DK, Agarwal KN. Physical growth in Indian affluent children (Birth – 6 years) Indian Pediatr.1994;31:377–413; Khadilkar VV, Khadilkar AV, Choudhury P, Agarwal KN, Ugra D, Shah NK. IAP growth monitoring guidelines for children from birth to 18 years. Indian Pediatr. 2007;44:187–97.
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João Santos Caio Jr
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Site Van Der Häägen Brazil
www.vanderhaagenbrazil.com.br
www.clinicavanderhaagen.com.br
www.crescimentoinfoco.com
www.obesidadeinfoco.com.br
http://drcaiojr.site.med.br
http://dracaio.site.med.br
João Santos Caio Jr
http://google.com/+JoaoSantosCaioJr
Vídeo
http://youtu.be/woonaiFJQwY
Google Maps:
http://maps.google.com.br/maps/place?cid=5099901339000351730&q=Van+Der+Haagen+Brasil&hl=pt&sll=-23.578256,46.645653&sspn=0.005074,0.009645&ie =UTF8&ll=-23.575591,-46.650481&spn=0,0&t = h&z=17