Growth and development Flashcards
SIDS characteristics -
<1yo and unexplained death (dx of exclusion)
MC age - (2-4mo) (rare <4w or >6mo)
Plagiocephaly is?
Flat spot on baby’s head
When does plagiocephaly typically improve?
2-3mo
When to TXT Placiocephaly?
No improvement in 4-6mo > craniofacial specialist (helmet/PT) Txt torticollis
Def of craniosynostosis?
Premature closure of cranial sutures
TXT for craniosynostosis?
Elective surgery at 6mo
CI to breastfeeding?
Lithium Radioactive/antineoplastic/immunosuppressive Antithyroid Rx Drugs/ETOH Infections
Infections making breastfeeding CI
HIV Active TB Varicella H1N1 HSV of breast
Types of dwarfism?
Psychosocial dwarfism - Fx of GH deficit
Laron drawfism - Fx of Increased GH w/out IGF-1
Definition of FTT?
<3%
Wgt decreases past 2 percentile lines
<80% wgt median for hgt
Classifications of FTT?
Wasting - type I
Stunting - type II
Symettric - type III
Wasting - type I defined?
Deficit in wgt gain = Malnutrition
Stunting - type II defined?
Deficit in hgt (head ok) = Months malnutrition
Symmetric - type III defined?
Proportional deficits = longstanding malnutrition, chromosomal ABNLs, congenital infections, teratogenic exposure
Admitted child - feeds fine and gains wgt suggests?
Poor feeding at home
Admitted child - feeds fine but doesn’t gain wgt suggests?
Endocrine/metabolic d/o
Malabsorption
Admitted infant - feeds poorly in hospital suggests?
Difficulty sucking/swallowing (Neuromuscular) Poor intake (req small feedings only) Frequent vomiting/regurgitation (GI structural defect)
TXT of FTT?
Nutrition mgmt.
- increase calories/proteins to >1.5x
- Supplement vitamins/minerals
Complications of FTT
Malnutrition-infection cycle
Refeeding syndrome
Malnutrition-infection cycle is?
Recurrent infections exacerbate malnutrition and so on
Refeeding syndrome is?
Starvation protects homeostasis/lytes; however, rapid feeding may cause loss of fluid/lytes…
PO4, K+, Ca2+, Mg2+ become unbalanced leading to life threatening cardiac/pulm/neuro issues
