Pediatr. pro Praxi, 2004; 3: 121-126

Chyby a omyly v diagnostice - hodnocení růstu

MUDr. Stanislava Koloušková CSc
Pediatrická klinika 2. LF UK a FN Motol, Praha

Keywords: growth chart of the child, algorithm of evaluation of the growth disorder.

Published: December 31, 2004  Show citation

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Koloušková S. Chyby a omyly v diagnostice - hodnocení růstu. Pediatr. praxi. 2004;7(3):121-126.

Ve své praxi se stále velmi často setkáváme s podceňováním růstových grafů. Růst je obrazem zdravotního stavu dítěte. Monitorování růstu a včasný záchyt růstové poruchy mnohdy pomůže diagnostikovat závažné onemocnění podstatně dříve, než se choroba projeví v celé šíři. Níže uvedené kazuistiky poukazují nejenom na nedostatečnou práci s růstovým grafem a podcenění změny postavení dítěte v percentilové síti, ale i na nedostatečnou komunikaci jednotlivých lékařů mezi sebou, což v některých případech vedlo k poškození dítěte.

MISTAKES AND ERRORS IN DIAGNOSIS - THE GROWTH EVALUATION

We often find in practice an underestimation of growth charts in a child. Growth reflects the child-s health status. Monitoring of growth and an early detection of growth disorder often helps to diagnose serious disease much earlier than it presents in all its strength. Further case-reports show not only the insufficient use of growth charts and underestimation the change of child-s position in it, but also the insufficient communication of single doctors reciprocally, which lead in some cases to harm of the child.

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References

  1. Hochberg Z (ed.). Practical Algoritms in Pediatric Endocrinology. Karger AG, Basel 1999.
  2. Lebl J, Krásničanová H. Růst dětí a jeho poruchy. Galén, Praha 1996.
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