Failure to thrive/short stature Flashcards

1
Q

How many centile lines are there on a growth chart?

A

9

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the centile lines on the growth charts?

A

0.4th / 2nd / 9th / 25th / 50th / 75th / 91st / 98th / 99.6th

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Where should children born between 32 weeks and 36+6 weeks gestation be plotted, and for how long?

A

In the preterm section on the left

Growth should be plotted there until 2 weeks after the EDD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

On the main chart, how long should a gestational correction be done for if the child is born before 32 weeks?

A

2 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

On the main chart, how long should gestational correction be done for if the child is born 32-36+6 weeks?

A

1 year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When is a child considered to be ‘on the centile’?

A

When they plot within 1/4 space of the line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When is a child considered to be ‘between centiles’?

A

When they plot outside 1/4 space of the line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How is the mid-parental height of a girl calculated?

A

(Father’s height + mother’s height - 12.5)/2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How is the mid-parental height of a boy calculated?

A

(Father’s height + mother’s height + 12.5)/2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How is predicted adult height calculated?

A

Using specific part of chart, plot child’s last centile, then +/-6cm and read of predicted adult range. 80% of children will grow to fall between this range.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How is the mid-parental centile comparator calculated?

A

Using specific part of the chart, plot Mother and Father’s height, draw and line between them. +/- 2 centiles from mid-point. 90% of children will fall between these centile lines.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How should head circumference measurements be taken?

A

3 times, and take an average

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

By what age should an IUGR child catch-up in growth?

A

4y/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is a short 5th metacarpal a sign of?

A

Pseudohypoparathyroidism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is a baby’s milk requirement?

A

150ml-200ml/kg/day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How many ml in 1oz?

17
Q

When should weening start?

18
Q

How can causes of failure to thrive be categorised?

A
  1. Inadequate caloric intake
  2. Inadequate caloric absorption
  3. Excessive caloric expenditure
19
Q

What are the causes of inadequate caloric intake in a toddler/infant?

A
  1. Breast feeding problem
  2. Incorrectly made up formula
  3. GORD
  4. Care-giver depression
  5. Lack of food availability
  6. Cleft lip/palate
20
Q

What are the causes of inadequate caloric absorption in a toddler/infant?

A
  1. Food allergy
  2. Malabsorption
  3. Pyloric stenosis
  4. GI atresia/malformation
  5. Inborn error of metabolism
21
Q

What are the causes of excessive caloric expenditure in a toddler/infant?

A
  1. Thyroid disease
  2. Chronic infection/immunodeficiency
  3. Chronic pulmonary disease
  4. Congenital heart disease
  5. Malignancy
22
Q

What are the causes of inadequate caloric intake in a child/adolescent?

A
  1. Mood disorder
  2. Eating disorder
  3. GORD
  4. IBS
23
Q

What are the causes of inadequate caloric absorption in a child/adolescent?

A
  1. Food allergy
  2. Coeliac disease
  3. Malabsorption
  4. IBD
  5. Inborn error of metabolism
24
Q

What are the causes of excessive caloric expenditure in a child/adolescent?

A
  1. Thyroid disease
  2. Chronic infection/immunodeficiency
  3. Chronic pulmonary disease
  4. Congenital heart disease
  5. Malignancy
25
What are the differentials for short stature?
1. Familial 2. Constitutional 3. IUGR 4. Nutritional 5. Chromosomal 6. Chronic disease 7. Social deprivation/neglect/child abuse