[Answered]: Girl 12 years old. Parents filed complaints about lag

Girl 12 years old. Parents filed complaints about lagging growth. The baby was born from both normal pregnancy and childbirth. Body weight at birth – 3100 g, length – 49 cm. Grow and developed according to age. Rarely sick. The height of the mother is 158 cm, the parent is 160 cm.Objectively: the delay in growth is -2 sigma deviations. Body structure is proportional. The intelligence is normal. Skin of moderate humidity, of normal color. Breathing vesicular. Heart tones are rhythmic, sonorous. Blood pressure is normal. The development of external genitalia corresponds to the age formed correctly.General blood and urine tests – no peculiarities. Blood glucose – 4.0 mmol / L, blood cholesterol level – 4.8 mmol / L, “bone age” corresponds to passport.The level of growth hormone onset and after the stimulation test with clophylline is normal (2.4 ng / ml and> 10 ng / ml, respectively).Answer the questions:1. Your diagnosis?2. What clinical and laboratory data confirm the diagnosis?3. What clinical forms of growth retardation need to be differentiated? 4. What recommendations can you provide for monitoring a child?