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hey this is Monacos perfection Alice so in a previous video Ive talked about short stature today well focus on constitutional delay here the bone age is less than that chronological age and these are called the late bloomers they start up short however they will catch up no worries so lets review the algorithm that was discussed in details in the previous video so doc my kid is short why is that how can we deal with that first we have to x-ray to get the bone age then we compare the bone age from the x-ray to the actual age also known as the chronological age the bone age is less than the chronological age for example no logical ages 8 bone ages 6 okay so we look at the growth growth velocity from the curve the slope okay if the slope is normal thats constitutional a if its abnormal thats called chronic illness or maybe due nutrition or endocrine such as growth hormone deficiency so constitutional delay is here bone age less than chronological age so in constitutional delay the