11 Failure to thrive

Question 1

Weight lose

Answer 1

• inadequate calorie intake

- before length and height

Question 2

organic cause of failure to thrive

child eats too little

Answer 2

disease

1. congenital heart defect
2. malabsorbtion syndrome
3. infection
   
   • parasite, urinary tract infection (use nutrient fast, decrease appetite )
4. anemia
5. heart & renal problem
6. endocrine problem
7. intellectual development delay
8. prematurity
9. autism 孤独症
10. cystic fibrosis (not enough enzyme to absorption), chronic liver disease, celiac disease–> malabsorption
11. some condition increase caloric needs

Question 3

non-organic cause

not enough food offered

Answer 3

• external
  1. abnormal development and behaviour of child
  2. distorted relationship between care-giver and child
  3. deprived background or high income parents with distorted health benefits (micro-biotic)
  4. lack of food
  5. over-dilute of formula
  6. poor feeding
  7. financial problem
  8. breast milk is not enough, if women under stress and malnutrition

Question 4

3 pattern

Answer 4

1. low head circumference; Wt & Ht < 5th percentiles
   
   • intellectually handicapped
2. normal HC; Wt impaired but normal Ht
   
   • short stature, chronic disease (malabsorption, endocrine disorder CF)
3. Normal HC, lower Wt and greatly lowered Ht

Question 5

FTT highest risk

Answer 5

6mo

Question 6

Extreme FTT

Answer 6

1. hospitalization
2. tube feeding
3. 150% caloric reqt. for catch-up
4. individualized medical and social support

Question 7

FTT delays

Answer 7

1. motor skills
2. language acquisition
3. social skils
4. refusal to eat–> inadequate calorie intake

Question 8

FTT

Answer 8

stunted

wasted

Question 9

causes

Answer 9

• nutritional
• developmental
• psychosocial
• medical