

Overview
Stunting, often presenting as childhood short stature, is a major global health concern that significantly impacts a child’s growth and development. This underscores the importance of regular growth monitoring in all pediatric patients and a thorough evaluation of any child presenting with short stature. For primary care physicians, distinguishing normal growth from pathological causes and knowing when to investigate and refer is essential for timely intervention.
Understanding normal childhood growth is essential for the evaluation of short stature, which involves a comprehensive history, physical examination, accurate measurements, and growth pattern assessment. Careful interpretation of these findings enables early recognition of children with potential underlying pathology and helps determine the cause of short stature. Applying these principles allows clinicians to identify abnormal growth trajectories, recognize red flags, and determine when additional investigations or referral are warranted.
Early recognition and timely referral are crucial, as they allow for prompt diagnosis and initiation of appropriate short stature treatment when indicated. Structured referral pathways ensure that children with treatable causes of short stature receive optimal care. This approach helps them reach their full growth potential and achieve better long-term health outcomes.
This e-learning module equips primary care physicians to recognize and refer children with short stature early, promoting evidence-based management. By applying systematic assessment, growth monitoring, and appropriate referral, clinicians play a key role in supporting healthy growth and development in pediatric patients.
Upon completion of this module, learners should be able to:

Professor Dr Muhammad Yazid Jalaludin
Deputy Dean (Undergraduate Studies)
Faculty of Medicine
University of Malaya
Senior Consultant Paediatrician, Consultant Paediatric Endocrinologist
Department of Paediatrics
University Malaya Medical Centre
Keywords: childhood short stature, short stature, stunting, evaluation of short stature, diagnosis of short stature, differential diagnosis of short stature