Pictures

Question 1

FTT?

Answer 1

Yes. Weight drops off by more than 2 lines, height soon follows.

Question 2

FTT?

Answer 2

No, normal variant

sometimes settle into a lower weight/height (genetic mean) around 9-18 mo.

Weight in 50% means good fetal nutrition during pregnancy.

Question 3

FTT?

Answer 3

Weight is okay, just short stature. think hypothyroidism.

Question 4

FTT?

Answer 4

Original weight was 50th percentile, this change is just to become appropriate to height. She is a short girl. Think of Turner’s syndrome.

Question 5

mom 5’1” dad5’6”, dad late puberty, exam Tanner 1

Failure to thrive?

Answer 5

Puberty is late. Dad was a late bloomer. Constitiutional delay. Once puberty kicks in, will regain height.

Fhx of late onset puberty tips you off. Bone age is delayed. Good growth rate/velocity.

NOT FTT

Question 6

FTT?

Question 7

What does this child have?

Answer 7

measles

Question 8

What does this child have?

Answer 8

measles