Failure-to-Thrive Flashcards
1
Q
Etiology/ Incidence of FTT:
A
Organic disease or medical condition Maladaptive parent-infant interaction Maternal depression Poverty Deficits in parenting information and skills Child abuse and neglect
2
Q
Gastrointestinal differentials for FTT (8):
A
GERD Pyloric stenosis Cleft palate Lactose intolerance Hirschprung disease Milk-portein intolerance Hepatitis Malabsorption
3
Q
Cardiopulmonary differentials for FTT (5):
A
Cardiac defects broncopulmonary dysplasia (BPD) Asthma Cystic fibrosis Tracheobronchial or tracheoesophageal malformations
4
Q
Endocrine differentials for FTT (5):
A
Thyroid dysfunction Diabetes Adrenal insufficiency Pituitary disorders Growth hormone deficiency
5
Q
Neurologic differentials for FTT (5):
A
Mental retardation Fetal alcohol syndrome Lead poisoning Prematurity Neuroregulatory difficulties
6
Q
Genetic differentials for FTT (1):
A
Mitochondrial diseases
7
Q
Social-emotional and environmental differentials for FTT:
A
Maternal depression or other mental illness Poverty/ inadequate resources Inadequate parenting knowledge/ skills Difficult temperament Child abuse/ neglect
8
Q
Diagnostic methods/findings–History:
A
Prenatal/ perinatal/ neonatal history Complete diet history and feeding practices Environmental history Social history Family history
9
Q
Diagnostic methods/findings–Risk factors:
A
Prematurity Low birth weight Difficult temperament Regulation problems Social stresses
10
Q
Diagnostic methods/findings–Growth:
A
Height Weight Head circumference Longitudinal growth data Correct for gestational age as appropriate VS including BP
11
Q
Diagnostic methods/findings–Physical exam:
A
Signs of underlying organic disease
Severity of malnutrition
Evidence of abuse or neglect
Feeding observation to assess for behavioral or interactional contributing factors
12
Q
Diagnostic methods/findings–Laboratory assessment:
A
CBC UA (if applicable) CMP Thyroid function Sweat test (if concern) Lead level (if concern based on history) TB (if concern) Bone age (if height is poor)
