What is the role of imaging studies in the workup of pediatric growth failure (failure to thrive)?

Updated: Nov 05, 2018
  • Author: Andrew P Sirotnak, MD; Chief Editor: Caroly Pataki, MD  more...
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Answer

Imaging studies are not routinely needed.

Perform skeletal survey for occult trauma if physical abuse is suspected or signs are present upon examination.

Head CT scanning or MRI studies are indicated if examination reveals microcephaly, macrocephaly, or congenital malformation or if abusive head trauma is a concern.

Perform bone age studies of wrists in children who have constitutionally short stature or are extremely malnourished; in patients in whom bone density or ricks is a concern, perform knee studies, wrist studies, or both.


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