6 doctors weighed in:
How do I know if adopted child has growth hormone deficiency, wrong birthdate, or growth restriction?
6 doctors weighed in

Dr. James Ferguson
Pediatrics
3 doctors agree
In brief: Have them evaluated
We approach them as an unknown, repeat the basic vaccines and evaluate their needs individually.
A growth evaluation often starts with a proposed date of birth, charted height/weights when known & a wrist hand x-ray for bone age. Another study in 6m to a year can see if the bone maturity is progressing.If slow, a hormonal evaluation would be reasonable.If normal, its okay to just watch.

In brief: Have them evaluated
We approach them as an unknown, repeat the basic vaccines and evaluate their needs individually.
A growth evaluation often starts with a proposed date of birth, charted height/weights when known & a wrist hand x-ray for bone age. Another study in 6m to a year can see if the bone maturity is progressing.If slow, a hormonal evaluation would be reasonable.If normal, its okay to just watch.
Dr. James Ferguson
Dr. James Ferguson
Thank
Dr. Aileen Sedman
Pediatrics
1 doctor agrees
In brief: Need to chart growth
If your child is very small, a physician needs to chart and analyze growth over a period of time by using a growth chart.
If a child is small but growing at a normal rate, that is very different than a child who stops growing. Also head circumference and weight gain over time also need to be factored in. If actual age is not known, an estimate can be made by an xray of the hand bones.

In brief: Need to chart growth
If your child is very small, a physician needs to chart and analyze growth over a period of time by using a growth chart.
If a child is small but growing at a normal rate, that is very different than a child who stops growing. Also head circumference and weight gain over time also need to be factored in. If actual age is not known, an estimate can be made by an xray of the hand bones.
Dr. Aileen Sedman
Dr. Aileen Sedman
Thank
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