What causes shunted growth in children?
Patient: Ralph has always been different from his classmates. When he was in fourth grade, he still could not add or subtract numbers larger than 10. He had trouble reading and spelling the simplest words. His memory was poor. All of the kids constantly teased him and called him names. Finally his parents sent him to a special school. When he got to seventh grade, he had to take gym. After the class all of the boys had to take a shower. Once again the teasing and the tormenting started for poor Ralph. The other boys told him he looked like a baby and that he would never grow up to be a real man! When he got home, his mother tried to comfort him. Things just continued to get worse. Ralph kept gaining weight and the nickname “Tubby” was given to him by some cruel classmates. Still another problem was that Ralph was at least a foot shorter than other boys his age. What was Ralph’s problem? Doctor: Hello, welcome to HCM    there are many reasons for stunted growth like chronic malnutrition, ceoliac disease, chronic infections, chronic liver disease, heart disease etcthank u