Short stature

Template

Tap a choice or type a Repertoire Line to see how the note changes. Defaults are what the template inserts on its own.

Try a Repertoire Line

Practice wording only: leave out patient details. Nothing typed here is saved or sent.

DiagnosisChoose oneTitle

ReviewedChoose any

AssessmentChoose one

Growth velocityChoose one

Red flags presentChoose any

Red flags absentChoose any

PubertyChoose one

Bone ageChoose one

LabsChoose any

ReferralChoose any

Follow-upChoose one

Follow-up reasonChoose anyJoins the line above

Counseling paragraphChoose oneParagraph

Note when inserted as is

Short stature
• Growth chart, mid-parental height, birth size, chronic symptoms, medications, diet, and family puberty timing reviewed
• Mid-parental height calculated, and the growth trajectory is consistent with familial short stature
• Normal growth velocity, following a steady height percentile
• No poor weight gain, chronic abdominal pain or diarrhea, headaches or vision changes, dysmorphic features, or disproportionate body proportions
• Follow up in 6 months to recheck height and growth velocity

Children with familial short stature grow at a normal rate and usually reach an adult height close to what is expected from their parents' heights. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Familial, constitutional, normal height, not familial with workup
Growth velocity: steady, crossing percentiles, slowed
Red flags present or absent (poor weight gain, GI symptoms, headaches or vision, dysmorphic features, disproportion)
Pubertal stage
Bone age ordered, delayed, consistent
CBC, CMP, ESR, celiac, TSH and free T4, IGF-1, calcium and phosphorus, vitamin D, karyotype
Paragraph per branch

Sources

Few formal guidelines cover this topic, so the template also leans on expert opinion.