Short stature

Male  < 62.6 cm

Female < 52.4 cm

Causes

Constitutional delay – Normal variant

Familial short stature –  Other members of the family have short stature

Crohn’s disease

Coeliac disease

Hypothyroidism

Chronic kidney failure

Examination

Inspect for dysmorphic features

Inspect for nutritional deficiencies

Check height/ weight

Check growth velocity

Measure skeletal proportions

Asses pubertal status

Investigations

FBE

ESR

TSH

Coeliac serology

Karyotyping for turners syndrome

Growth hormones study-  Glucagon stimulation test

Bone age X-ray- For left wrist and hand

Management

Referral to pediatrician

Treatment depends upon the cause