Referral Timeframe: Urgent

Call MD on-call to discuss and start treatment.
On-Call Phone #
Day: (512) 628-1830
After Hours: (512) 323-5465

Clinical Findings

Poor height velocity or crossing percentiles) AND associated with severe headaches and/or blurry vision

Pre-Referral Workup

  • May need lab tests as below but please call to discuss.
  • May need urgent MRI of brain and pituitary to rule out tumor.

Referral Requirements

All clinical notes and laboratory results including growth chart

Referral Timeframe: Routine

Likely will be seen in next 1 to 3 months

Clinical Findings

  • Current height less than 3rd percentile for age, or
  • Crossing percentiles on repeated growth measurements.

Pre-Referral Workup

  • Evaluation of mid-parental target height
  • IGF-I (Insulin like growth factor-I)- CPL test 4920, QUEST Test code 839, Esoterix code 500282
  • IGF-BP3 (Insulin like growth factor binding protein 3) CPL test 4361, Esoterix code 500281
  • TSH, Free T4, CBC, CMP, Urinalysis
  • Celiac screening (Anti-Tissue Transglutaminase –IgA) IgA level; CPL test codes 4725 and 2751
  • Bone age x-ray if more than 2 years of age
  • Please have parent bring CD or film of bone age x-ray to appointment
  • For females, consider HIGH RESOLUTION karyotype for Turner syndrome

Referral Requirements

  • Growth chart
  • Thyroid function tests
  • Laboratory results
  • Bone age results – Please have parent bring a copy of bone age x-ray (CD or film) to visit
  • Relevant clinical notes
  • All non-urgent patients referred for short stature will be sent to a growth seminar prior to Endocrine visit

Referral Timeframe: No Referral

May NOT need referral based on initial evaluation

Clinical Findings

Current height greater than 3rd percentile but still concern for growth

Pre-Referral Workup

  • Must screen with TSH level at minimum.
  • Consider above laboratory testing and bone age x-ray if > 2 years old depending on symptoms.
  • Evaluation of mid-parental target height. (MPTH)

Referral Requirements

  • Growth chart
  • Thyroid function tests
  • Laboratory results
  • Bone age results – Please have parent bring a copy of bone age x-ray (CD or film) to visit
  • Relevant clinical notes