CLIPP 26 Flashcards
weight gain in first 4 months of life
20-30g/day
concern on growth chart
if percentile drops
RR and BP at 2 months i.e. 9 weeks
RR 30-60
BP 90/50
Normal APGARS
at or above 7 (7-9)
FTT definition and criteria
-inadequate calories to meet metabolic need
weight is below 3rd percentile or
weight for length/height falls below 3rd percentile or
rate of weight slows down compared to prior growth crossing two or more percentiles downward
non-organic vs organic FTT and which is more common
non-organic is external things like lack of caloric intake due to decreased production, vs organic is real things like congenital heart disease
-more common is non organic
three means of inadequate caloric intake
-excessive need, excessive loss, insufficient intake
sx of formula or milk protein allergy
bloody stools
mean hgb at 2 months of age and what is the hgb at its nadir/what is it
at 2 months of age - 11.2
the nadir is 11 at 7-9 weeks
lab result in CF and commonest mutation in CF
sweat chloride >= 60 is consistent with CF, as is elevated immunoreactive trpsinogen
- delta F508 mutation
- remember to still consider CF even if normal NB screen
false positives in CF can be due to…
Adrenal insuff, hypothy
CF sx
chronic cough, weight loss, malabsorption, greasy stool, chronic sinusitis, low ADEK
presentation of malabsorption
loss of weight and some loose stools despite good caloric intake
how often should babies eat in first 3 months of age
q2-3h (2oz milk q2-3h)
