poor growth in infants, failure to thrive

Question 1

poor growth in infant - criteria (3)

Answer 1

ANY OF
any biometry thats < 3rd centile
tracking downwards on chart
crossing centiles

Question 2

what is expected growth in infants

Answer 2

0-3 months 150-200g/week
3-6 months 100-150g/week
6-12 months 70-90g/week

Question 3

red flag signs in baby with poor growth (9)

Answer 3

physiological

• dehydration
• malnutrition
• significant illness

signs of neglect

• abuse signs
• poor attachment
• frequent did not attends or appt cancels

carer issues

• psychosocial issues - etoh, drug use at home, dv, isolation
• parental mental health issues
• poor carer understanding (CALD or intellectual disability)

Question 4

poor growth in baby - differentials (14)

Answer 4

insufficient intake

• breastfeeding issues
• failing to feed
• anorexia of chronic disease

psychosocial - look at red flags list

malabsoprtion

• cows milk protein intolerance
• coeliac disease
• liver disease
• pancreatic insufficiency
• chronic diarrhea

high calorie use

• diabetes mellitus
• HYPERthyroidism
• resp disease
• heart disease
• UTI
• chronic illness

Question 5

poor growth in infant - investigation panel

Answer 5

fbc, esr
uec, lft
iron studies
ca/po4
tft
bsl
urine mcs
coeliac test
stool mc*s, fat globules, fatty acid crystals