Assessing normal and abnormal patterns of growth.

Abstract

The problem of identifying abnormal patterns of growth in the pediatric population has been approached based on a schema that is dictated by the normal physiologic events that occur at each of the phases of infancy, childhood, and pubertal growth. These phases of growth have specific and quantifiable normal patterns, which provide a reference means for defining truly abnormal patterns of growth. The clinical evaluation, therefore, is dependent on and somewhat unique to the particular age group of the child whose growth is in question. By approaching the work-up in this age-specific manner, the clinician can direct his or her attention to the parameters of growth that are most critical to that particular phase, look for explanations that are the most likely, and, it is hoped, avoid unnecessary testing and referral.