Management Growth/FTT Flashcards
1
Q
Management Poor Growth
A
What is the growth potential? - Mid parental height - Bone age - Centile, trajectory History: - Intake, malabsorption, energy use - ?reflux contributing Consider cause - Iatrogenic/intrauterine, skeletal dysplasia/scoliosis, nutritional, chronic disease/chromosomal, endocrine (hypothyroid, cushing, GH deficiency)
Investigations
- Anthropometry
- FBE, UEC, LFT, TFT, coeliac screen, ESR, iron
- Sweat test
- GH/cortisol
- IGF1
- Stool - fat globules, crytals
- Urine MCS/metabolic
- Cerebral imaging
- Karyotype
Treatment - involve speech path/dietician
- Offer solids before liquids
- Relaxed meal times
- Treat reflux - position, thicken, PPI, fundoplication
- Manage chronic disease
- Bolster diet
- Consider GH therapy
