Microcephaly - Pediatric Oncall

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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Question
As per definition of microcephaly, it is head circumference more than 3 standard deviation below for that age & sex. BUT no chart including NCHS gives 3sd standard deviation which is actually less than 2 percentile(it is 3sd & not 3rd percentile) please clarify. ONE SINCERE REQUEST IS CAN YOU GIVE ANY phone number on which we can directly call you? It will save my time to some extent .Thanks a lot .JOB OPP IS REALLY A GOOD IDEA.
Answer
As you have correctly pointed out, there is no growth chart that shows the 3rd standard deviation including the latest NCHS charts which give upto the 3rd percentile. However, you can try the various anthropometry charts in the "TEXTBOOK OF MALFORMATIONS' by Smith in which you have charts for testicular volume, hand span, ear span and head circumference. Regarding medical queries we, would appreciate it if you send it by filling in the query form on www.pediatriconcall.com as you have been doing as medical queries are not answered either by email or by telephone. Our contact details are: Pediatric Oncall 1/B,Saguna,271/B, St.Francis Road,Vile Parle(W), Mumbai-400056. Telephone 022-30905610 Back to All Questions

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