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this VAP focuses on how to assess vertical growth in a child and specifically how to approach a child with short stature the aim is for you to learn how to think critically and clinically about how a child grows and the possible factors that may be contributing to poor growth you will learn one the important questions to ask in the history to the key physical signs to look for in the physical exam 3 how to plot a growth chart effectively for what investigations should be considered in 5 what management strategies are available every child is expected to grow physically taller with age until they docHub adulthood normal growth follows a normal distribution curve which therefore gives us an accepted range of heights that would be considered normal for the population growth is a dynamic process that is dependent on many different factors that will be discussed later so when you are assessing a childs height growth several questions need to be considered preliminary first is the child trul