149b - Growth: Disease Specific Impact in Children Flashcards
How is pancreatic insufficiency diagnosed?
- 72h fecal fat
- High fecal fat, low fecal elastase
- Strict diet record with collection of all stool
On a child’s growth chart, between the ___ and ___ percentile is considered normal weight
On a child’s growth chart, between the 5th and 85th percentile is considered normal weight
- 85-95 = overweight
- >95 = obese
Note: Use percentiles up to 20 years old to determine normal/overweight/obese
>20 years old, use BMI
Describe 3 signs/symptoms of celiac crisis in children
- Severe diarrhea
- Hypoproteinemia
- Electrolyte abnormalities
How is failure to thrive defined?
Any of the following
- Weight for age OR weight/length <5th percentile on the CDC or WHO growth curves
- Decrease in more than 2 standard deviations on the growth chart over 3-6 months
Weight may cross more than 2 major percentiles
At what age can we start to use BMI to assess a patient’s weight compared to their height?
What do we use before that?
2 years old
<2 years old, use the WHO growth cure as well as weight and length
When should infants weigh about double their birth weight?
4-5 months
What should the daily weight gain during the frist 3-4 months of life be?
20-30 grams/day
In children, a BMI range of 85-95% is considered:
- Normal
- Overweight
- Obese
- Underweight
b. Overweight
- 5-85% = normal
- >95% = obese
How long should it take for infants to get back to their birth weight?
7-10 days
How might Cystic Fibrosis lead to failure to thrive?
- Many patients with CF have pancreatic insufficiency
- -> Fat malabsorption
- -> Difficulty gaining weight
- Potential complication = meonium ileus/perforation
- -> Intestinal resection
- -> short bowel
Until what age should perentiles be used to determine whether a patinet is underweight, normal weight, overweight, or obese?
What should be used after this age?
<20 years old use percentiles
>20 years old use BMI
