Answer & Explanation

A 3 year old child arrives at the office for their annual well-child check. The parent is concerned that their child is the shortest child in daycare and wonders if their growth is normal. The child has no past medical problems, good appetite, and no unusual symptoms. You confirm that the child is on target for midparental height. 1. What are the most common normal variations in short stature? What else is on your differential diagnosis? What additional history would you want to obtain? 2. What would be your stepwise approach for a child with short stature?

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