Here with parents. Parental concerns about B. being the shortest child in class. They are concerned about his height. Denies any PMH of any significant illness. Mother’s height is 64” with menarche onset at 12 years of age.

B.P. Scenario
Short Stature, 7-year-old male
• Name: B.P.
• Date: 15 July 2011
• DOB: 01 January 2004
• Gender: Male
• Age: 7 years 6 months
CC: Well visit today with parental concern about short stature
Ht: 48” Wt: 48 lb Resp.: 18
Temp. 98 F HR: 74 Allergies: PCN
Here with parents. Parental concerns about B. being the shortest child in class. They are concerned about his height. Denies any PMH of any significant illness. Mother’s height is 64” with menarche onset at 12 years of age. Father’s height is 72”. Father states he was shorter than other children and then he had a rapid growth spurt when he was about 16 years old. Other family members are normal heights per parents’ history. Vaccines are up to date. Denies any recent travel. Lives with parents and older sister, no pets. B. is not concerned about his height at this time. Is going to start 2nd grade in August. Does well in school. Has friends at home and school. No other concerns at this time. Well exam done today. Normal exam and normal development. Denies any medications.
Review of growth chart shows:
• Annual growth >4 cm/year.
• Birth: Ht: 19”
• 6.6 years old: Ht: 44.5”
Labs/imaging:
• NB screen at birth normal
• XRay single AP view of the left hand and wrist
• Labs: T4, TSH

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