Between 7 and 8 years of age, your patient has grown 4.5 cm

Discussion in 'USMLE STEP 2 CS' started by genius., Jun 3, 2008.

  1. genius.

    genius. Guest

    Between 7 and 8 years of age, your patient has grown 4.5 cm. His weight, however, remains below and parallel to the 5th percentile. clinical examination is entirely normal. his mother is anxious for further investigation to be undertaken. which one of the following would you undertake?

    1) growth harmone secretion using insulin- induced hypoglycemia
    2) computed tomography scan of the head.
    3) thyroid-stimulating hormone(TSH)
    4) 24-hour urine collection for cortisol
    5) none of these listed

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