IAP Karnataka: Case Based discussion (20th April 2021)
6 replies on “IAP Karnataka: Case Based discussion (20th April 2021)”
Theoretically the prevalence of SGA(3%of all new born children, even if you consider 10% of that, who do not show catch up growth) as a cause of short stature should be much higher than what is seen in practice- any comments on why this is so and how do we increase the diagnosis?
Do SGA boys have an exaggerated prepubertal dip in growth velocity?
Would a combination of GH and GnRha or
GH and Metformin be preferred for SGA girls with early puberty and short girls?
Is there any role of Metformin in SGA boys with early puberty?
What is the role of Metformin in SGA girls with early puberty (not necessarily Precocious Puberty)?
Is an SGA child who is started with GH and GnRHa at increased risk for poor bone mineral density? What should be done to improve this apart from Vit.D and Calcium?
6 replies on “IAP Karnataka: Case Based discussion (20th April 2021)”
Theoretically the prevalence of SGA(3%of all new born children, even if you consider 10% of that, who do not show catch up growth) as a cause of short stature should be much higher than what is seen in practice- any comments on why this is so and how do we increase the diagnosis?
Do SGA boys have an exaggerated prepubertal dip in growth velocity?
Would a combination of GH and GnRha or
GH and Metformin be preferred for SGA girls with early puberty and short girls?
Is there any role of Metformin in SGA boys with early puberty?
What is the role of Metformin in SGA girls with early puberty (not necessarily Precocious Puberty)?
Is an SGA child who is started with GH and GnRHa at increased risk for poor bone mineral density? What should be done to improve this apart from Vit.D and Calcium?