ChoiceHub
Sign in
A 7-year-old girl is brought because her school photograph shows her much shorter than her friends. At 4 years of age her height and weight were both on the 50th percentile; her height is now just below the 3rd percentile and her weight is on the 75th. Her mother says she is slow to get going in the mornings, her skin feels rough, and she opens her bowels twice a week. Her blood pressure is 95/58 mmHg and there are no abdominal striae. She is doing well at school. A wrist radiograph shows a bone age of 5 years. Which one of the following is the most likely diagnosis?
Shared by Mornienmiddle twist

Keep going — a set of ten like this one, one at a time.

Practise more

More from Paediatrics

See all

A 5-month-old girl is brought to the emergency department because her left thigh is swollen and she cries when it is moved. Her father says she rolled off a cou…

Pre-internship · common

You are the intern attached to a regional public health unit. Its annual child health profile for a town of 4,000 people reports: two-dose measles-mumps-rubella…

Pre-internship · niche

You are the intern in a regional hospital's paediatric outpatient clinic. A 3-year-old Aboriginal boy has bilateral middle ear effusions and a 35 dB conductive…

Pre-internship · middle twist

A coastal local government area has recorded four drownings of children under five years of age in five years, every one of them in a backyard swimming pool at…

Pre-internship · middle twist

You are a general practice registrar in a regional town of 6,000 people. Over six weeks the public health unit has confirmed seven cases of measles, four of the…

Clinical rotations · common