ABORDAGEM E AVALIAÇÃO INICIAL DA BAIXA ESTATURA EM CRIANÇAS

Jornal Paranaense de Pediatria Pub Date : 1900-01-01 DOI:10.5935/1676-0166.20220002

Bianca Manfroi Da-Silva, Ramon Eduardo Szymczak Conde, Júlia Macedo De-Britto, Fernanda Laís Soares De-Lima, Camilli Martins, Paula Adriele Dos-Santos, Jean Carlos Pereira Da-Luz, Julienne Angela Ramires De-Carvalho

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Abstract

Objective: This review aims to alert to the importance of correct stature assessment in pediatrics, demonstrating the wealth of information that this assessment can bring and guiding how to conduct clinical reasoning in the face of short stature complaints. Data sources: Scientiﬁc articles were searched in Pubmed and UpToDate databases between the years 2011 and 2020, giving preference to the most updated and didactic publications. Summary of ﬁndings: The topics covered were: deﬁnition of short stature; how to use the growth chart; what should be researched in the anamnesis; what to expect on physical examination; which complementary exams should be requested in a ﬁrst evaluation and some causes of short stature. Conclusions: The complaint of short stature should be conﬁrmed using the growth charts. Its approach involves a broad investigation, which includes, in addition to taking a careful clinical history and physical examination, radiological and laboratory tests, with the aim of detecting possible underlying diseases (mostly non-endocrine) that hinder growth.

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儿童矮小的方法和初步评估

目的:本文旨在提醒儿科正确的身高评估的重要性，展示身高评估所能带来的丰富信息，并指导如何在面对身高不足的投诉时进行临床推理。数据来源:在2011年至2020年期间在Pubmed和UpToDate数据库中检索科学文章，优先考虑最新和最具教学意义的出版物。调查结果总结:涵盖的主题有:身材矮小的定义;如何使用增长图表;在记忆中应该研究什么;体格检查的内容;哪些补充检查应要求在第一次评估和矮小的一些原因。结论:身高矮小的主诉应通过生长图进行确认。它的方法包括广泛的调查，除了仔细的临床病史和体格检查外，还包括放射和实验室检查，目的是发现可能阻碍生长的潜在疾病(主要是非内分泌疾病)。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Jornal Paranaense de Pediatria

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