CLIPP 26 Flashcards
Define failure to thrive
When weight is below the 3rd percentile, or weight for height/length is below the 3rd percentile, or when the rate of weight gain slows compared to previous growth, corssing 2+ curve lines on the growth chart
What is the difference between organic and non-organic failure to thrive etiologies?
organic: Ex heart defects, CF, vomiting, etc
non-organic: low SES, improperly prepared formula, inadequate supplu of breast milk
How many calories does a healthy full-term infant need to consume in the first 4 months of life?
100-110 Cal/kg/24 hours
In a patient with FTT, why would you order BUN and creatinine?
Important to check because poor growth may reflect renal failure.
In a patient with FTT, why would you get an xray?
Chest x-ray is important to look for cardiomegaly and pulmonary infiltrates.
In a patient with FTT, why would you get a CBC and smear?
CBC and a review of the blood smear will assist in the identification of an anemia or infection.
In a patient with FTT, why would you get serum electrolytes?
Electrolytes are important in the evaluation of hydration status, renal function, and acid/base status.
In a patient with FTT, why would you get a fecal fat analysis?
Fecal fat collection will identify fat malabsorption
In a patient with FTT, why would you get liver function tests
If abnormal, might suggest congenital or acquired infections or conditions that can cause biliary congestion, such as cystic fibrosis.
In a patient with FTT, why would you get thyroid function tests?
Thyroid hormone deficiency is an important cause of FTT that can be picked up on neonatal screen.
In a patient with FTT, why would you get urinalysis?
Urinalysis is important in assessing for renal dysfunction such as renal tubular acidosis, hematuria, UTI, etc.
In a patient with FTT, why would you get a urine culture?
Urine culture would be indicated if the urinalysis is abnormal or if there is a history of fever
