Endocrine
- Assess for short stature and track linear growth at each visit. If linear growth falters and/or if stature <3%ile, recommend assessment by a pediatric endocrinologist to consider treatment options.
- growth parameters should be obtained at each visit, including length (height if able to stand after age 3) and weight. Prior literature reports short stature is common in this group, however a plateauing or cessation of growth from the patient’s prior percentiles should prompt further evaluation (ie, for nutritional inadequacy and possible endocrinopathy). Would consider a formal swallowing evaluation if any signs or symptoms of dysphagia or changes in diet are present.
