This is an extract of our Failure To Thrive document, which we sell as part of our Paediatrics Notes collection written by the top tier of University Of Leicester students.
The following is a more accessble plain text extract of the PDF sample above, taken from our Paediatrics Notes. Due to the challenges of extracting text from PDFs, it will have odd formatting:
Failure to thrive Concern about growth is usually raised when
- Weight is below 2nd centile
- Height is below 2nd centile
- Or weight/height cross down two centiles Failure to thrive implies growth failure and also failure of emotional and developmental progress Weight faltering
- Always consider psychosocial problems o Eating disorders, home issues disturbed attachment
- Often result of caring parents who create stressful earing environment Causes of failure to thrive Classified into organic and non-organic Organic Inadequate intake
- Impaired suck/swallow (CP, cleft palate)
- Chronic illness leading to anorexia (Crohns, renal failure, CF, liver disease) Inadequate retention
- Vomiting, GORD Malabsorption
- Coeliac, CF, CMPI, short gut syndrome post NEC Failure to utilize nutrients
- Syndromes (T21, IUGR, extreme prematurity, storage disorders) Increased requirements
- Thyrotoxicosis, CF, malignancy, chronic infection (immunodeficiency), renal failure, heart disease
Non-Organic Inadequate intake
- Inadequate availability of food
- Feeding problems - insufficient breastmilk or poor feeding technique
- Meal time behavior
- Low socioeconomic status Psychosocial deprivation
- Poor maternal-infant interaction
- Maternal depression
- Poor maternal education Neglect or child abuse
- Factitious illness, deliberate underfeeding
Need to study the growth chart in combination with a history and examination of the child History
- Detailed dietary history o A food diary is useful
- Feeding, including details of exactly what happens during mealtimes
- Is the child well? Do they have lots of energy?
- Any other symptoms such as o Lethargy, D+V, cough
- Was the child premature or did they have IUGR or other problems at birth?
- Growth of family members and any illnesses in the family
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