Snapshot A 1-year-old girl is brought to the pediatrician by her parents for a routine check-up. Her height and weight at the current visit are found to be in the 10th percentile for her age, despite having a birth height and weight in the 50th percentile. A karyotype is obtained at the request of her concerned parents, and is found to be 46,XX. Thyroid function tests reveal TSH and T4 levels within normal ranges. Introduction Overview login to view 1 more bullet Epidemiology Incidence login to view 1 more bullet Demographics login to view 2 more bullets ETIOLOGY Pathophysiology login to view 3 more bullets Genetics login to view 2 more bullets Presentation History login to view 3 more bullets Symptoms login to view 1 more bullet Physical exam login to view 2 more bullets Imaging Radiograph of the hand and wrist login to view 2 more bullets Studies T4 and TSH levels login to view 2 more bullets Insulin-like growth factor 1 (IGF-1) and IGF-binding protein 3 (IGFBP-3) levels login to view 2 more bullets Karyotype login to view 1 more bullet Differential Cystic fibrosis login to view 2 more bullets Pediatric growth hormone deficiency login to view 2 more bullets Turner syndrome login to view 2 more bullets Treatment Lifestyle login to view 2 more bullets