Patient's question:
My daughter is currently 9 years and 9 months old, with a height of 124 cm and a weight of 22 kg. She was born with a length of 48 cm and a weight of 3.6 kg, and was a full-term normal delivery. Her bone age is measured as 7 years. The doctor said that based on her height and age, she should be classified as having short stature.Doctor's answer:
Diagnosis and Examination of Dwarfism: After the parents bring the child to the hospital, routine blood and urine tests, liver and kidney function tests, and thyroid hormone level tests are conducted. Girls need karyotype analysis. X-ray photos of the left wrist and metacarpophalangeal joints are taken to estimate bone age, assess the child's bone growth status, determine the degree of epiphyseal closure, and evaluate growth potential. If necessary, blood tests are performed to measure the levels of growth hormone and growth factors. If growth hormone deficiency dwarfism is suspected, a growth hormone stimulation test is required for diagnosis. All short-stature children should undergo MRI of the head to rule out the possibility of congenital developmental abnormalities or tumors.