growth Flashcards
1
Q
normal weight and growth
A
3-3.5kg
lose 10% in first week
double by 4-6 mos
triple by year
2
Q
normal height and growth
A
50cm at brith
double by 4
3
Q
normal head circ and growth
A
35cm at birth
4
Q
which chart to use and advantage
A
WHO because more diverse and breastfed
5
Q
def. of failure to thrive
A
weight
6
Q
factors affecting growth
A
genes - turner, downs intrauterine internal time clock nurtiriotn endocrine infections
7
Q
5 etiology of FTT
A
- low intake
- poor absorption
- increased ustilization
- ineffective utilization
- increased losses
8
Q
most common causes of FTT
A
non-organic/psycho
9
Q
risk factors for psychsocial
A
child factors - prem, LBW - recurrent illness parent factors - abused or neglected - unwanted/planned - drug/alc - young/inexperienced - unwell child and paretnal - feeding issues - behaviro env. factors -SES
10
Q
workup for FTT
A
based on exam
CBC, lytes, urea, Cr, TSH, T4, UA, ferritin, vits
11
Q
overweight classes for peds
A
risk of over weight BMI > 85%
overweight > 97
Obese > 99
12
Q
things to look for on exam
A
- HTN
- thyroid
- acanthosis nigricans
- striae
- hepatomegaly
- hisuitism
13
Q
investigations
A
- lipids
- glocose
- A1C
- LFTs
14
Q
how to help obesity
A
behavior and lifestyle mods
15
Q
activity reccomnedations by age
A
0-4
- 180 through day of any intensity
- > 60 minutes of energetic
