The short child

Growth is one of the most important characteristics of human development. This pro­cess occurs from the moment of conception through the final stages of puberty. There are multiple factors that contribute to growth in humans. Although it may seem complex, a pe­diatrician should note that growth can be fairly predictable. The advantage to predictable changes in growth is that clinicians should be able to promptly detect any deviation and evaluate it in a timely manner. One of the most helpful tools to assess changes in growth is the use of a growth chart. This article provides the clinician with the necessary tools to identify growth abnormalities, investigate appropriately to arrive at an accurate diagnosis, and either treat or, when indicated, provide a timely referral to a pediatric endocrinologist.