149b - Growth: Disease Specific Impact in Children Flashcards

1
Q

How is pancreatic insufficiency diagnosed?

A
  • 72h fecal fat
    • High fecal fat, low fecal elastase
  • Strict diet record with collection of all stool
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2
Q

On a child’s growth chart, between the ___ and ___ percentile is considered normal weight

A

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

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3
Q

Describe 3 signs/symptoms of celiac crisis in children

A
  • Severe diarrhea
  • Hypoproteinemia
  • Electrolyte abnormalities
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4
Q

How is failure to thrive defined?

A

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

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5
Q

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?

A

2 years old

<2 years old, use the WHO growth cure as well as weight and length

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6
Q

When should infants weigh about double their birth weight?

A

4-5 months

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7
Q

What should the daily weight gain during the frist 3-4 months of life be?

A

20-30 grams/day

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8
Q

In children, a BMI range of 85-95% is considered:

  1. Normal
  2. Overweight
  3. Obese
  4. Underweight
A

b. Overweight

  • 5-85% = normal
  • >95% = obese
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9
Q

How long should it take for infants to get back to their birth weight?

A

7-10 days

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10
Q

How might Cystic Fibrosis lead to failure to thrive?

A
  • Many patients with CF have pancreatic insufficiency
    • -> Fat malabsorption
    • -> Difficulty gaining weight
  • Potential complication = meonium ileus/perforation
    • -> Intestinal resection
    • -> short bowel
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11
Q

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?

A

<20 years old use percentiles

>20 years old use BMI

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