Estudio del paciente con talla baja
Resumen
La talla baja se define como la condición en la cual la altura de un niño o niña es más de dos desviaciones estándar por debajo del promedio poblacional esperado para su edad y sexo, o por debajo del percentil 3. La talla baja es una de las principales causas por las cuales se consulta al pediatra endocrinólogo; sin embargo, hay que tener presente que existen variaciones normales en el crecimiento que deben ser diferenciadas de las patológicas. Es necesario que la evaluación del paciente con talla baja incluya una historia clínica completa y detallada, un cuidadoso examen clínico, auxología y pruebas diagnósticas, incluyendo evaluaciones radiológicas, con el fin de diferenciar aquellos pacientes con crecimiento patológico de aquellos pacientes normales con talla baja. Esta revisión analiza los factores que influyen en el crecimiento, las bases de una evaluación apropiada del crecimiento y las pruebas diagnósticas para el estudio del paciente con la talla baja.
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