Useful Management Information

  • Short Stature defined as having a height below the 3rd percentile for age and gender
  • Correct for prematurity (<37 weeks) until 24 months of age
  • There are growth charts available for specific conditions including down syndrome, turner syndrome and williams syndrome and these should be used
  • The frequency of follow up depends on the child’s weight, age and psychosocial circumstances
    • Younger infants need more frequent follow up
  • If you have a reason to suspect a child in Queensland is experiencing harm, or is at risk of experiencing harm, you need to contact Child Safety Services

Clinician Resources

Minimum Referral Criteria

Does your patient meet the minimum referral criteria?
Category 1 (appointment within 30 calendar days)
  • Suspected chronic disease leading to growth arrest
Category 2 (appointment within 90 calendar days)
  • Children with undiagnosed short stature
Category 3 (appointment within 365 calendar days)
  • No category 3 criteria

If your patient does not meet the minimum referral criteria

  • Assessment and management information may be found on a range of conditions at HealthPathways
  • If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested:
    • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
  • Please note that your referral may not be accepted or may be redirected to another service

Essential Referral Information

  • Current height and weight, including head circumference for children less than 2 years
  • Report presence or absence of concerning features
    • Presence of chronic respiratory or bowel symptoms
    • Recurrent infectious illness
    • Juvenile arthritis (as this may be a marker of inflammatory disease e.g. inflammatory bowel disease)
    • Unexplained sudden growth arrest in a previously well-growing child
    • Visual field defects, eye movement disorders, morning headaches or other neurological signs

Additional Referral Information

Highly desirable Information – may change triage category

  • Height/weight/head circumference/percentile charts (measured serially and plotted to note trend, if available). It is recommended that WHO growth standards be used for children under 2 years of age and CDC growth charts for children over 2 years of age
  • Delayed pubertal development (no signs by 12 years in girls or 13 years in boys)
  • Early signs of pubertal development (signs prior to 8 years in girls and 9 years in boys)
  • Accurate parental heights obtained

Desirable Information - will assist at consultation

  • Other past medical history
  • Immunisation history
  • Developmental history
  • Medication history
  • Significant psychosocial risk factors (especially parents mental health, family violence, housing and financial stress, department of child safety involvement)
  • Other physical examination findings inclusive of CNS, birth marks or dysmorphology

Investigations to consider if clinically indicated

  • FBC ESR/CRP results
  • Urea electrolytes and LFT results
  • Bone chemistry results (calcium, phosphate and alkaline phosphatase)
  • Coeliac serology (TTG & IgA) results
  • TSH & FT4 results–to exclude hypothyroidism (peripheral or central)
  • IGF1 results – to exclude GH deficiency
  • Karyotype results in girls - to exclude Turner syndrome. May also request CGH microarray however a karytoype should be requested if mosaic Turner syndrome is suspected.
  • Urinalysis– to exclude renal disease
  • Bone age XR of wrist
  • FSH/LH results - if concerns about puberty
  • Faecal calprotectin
Last updated 25 October 2021

Send Referrals To

Smart Referrals

Preferred Method
About Smart Referrals

Secure Web Transfer

Send to: Gold Coast Health Service District

Internal Referrals

Paediatric Medicine (E-Blueslips)


(07) 5687 4497


Paediatric Referral Centre
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215


1300 744 284

Related HealthPathways

No directly related pathways found

Service Availability

Dr Susan Moloney


Gold Coast University Hospital

If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.

Child Safety

If you have a reason to suspect a child in Queensland is experiencing harm, or is at risk of experiencing harm, contact Department of Children, Youth Justice and Multicultural Services . Please consider if mandatory reporting applies.

Gold Coast Health - For Clinicians
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