Failure to Thrive | Cheat Sheet - Edubirdie

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

402

Pages:

2
Author:

Mariam A. A.

Failure to Thrive →description of a relatively common growth pattern *Not a disease - crosses & centiles for weight less than 3rd cantile for weight Risk Factors Biological Psychological Causes * development delays * poverty * inadequale intake ** losses * prematurity * food insecurity * pavental neglect breast/formula nulk *Genetic *underlying disease Ge-g. ceallac #substance use → persistent vomiting * in utero insu H ↓ *domestic violence psychological difficulties * BMR *inadequcile absorphion e-g. infection * intrauterine exposwe →coeliac disease or placental * cogenital or genetic diseaze →cystic Albrosis *excessive caloric utalisation insufliciency * malabsorphion * inadequate intake most comman →Chronic diseases Chronic k fuilve Congenital heart disease →chronic resp asthma CF IBD or coeliac disease systemic juvenile RA Criteria for admission * failed outpatient treatment * need to observe feeding * severly unwell illness, mal nutrition + dehydration * suspected abuse or neglect * concern about parental WH Diagonishic work up * centiles →weight < Height/length < head circumference * examination general-alert, sick / well, dysmorphic fat stores ½ m. bulk developmental assessment * organic causes rave in asymptomatic dildren reasonable to rule out if dietary + behavioural intoventions are unsuccessful not usually indicated consider systemic disece se that may be silent coeliac serology renal failure EUC nuhitional deficiencies FBC, iron ½ feritin chicnic inflammatory diseases sweat test Management → underlying curves psychosociall child prolechin calories health professionals - dietian, community nurse, social worke, MH inpatient us. outpatient

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