Failure-to-Thrive Flashcards Preview

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Flashcards in Failure-to-Thrive Deck (12)
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1

Etiology/ Incidence of FTT:

Organic disease or medical condition
Maladaptive parent-infant interaction
Maternal depression
Poverty
Deficits in parenting information and skills
Child abuse and neglect

2

Gastrointestinal differentials for FTT (8):

GERD
Pyloric stenosis
Cleft palate
Lactose intolerance
Hirschprung disease
Milk-portein intolerance
Hepatitis
Malabsorption

3

Cardiopulmonary differentials for FTT (5):

Cardiac defects
broncopulmonary dysplasia (BPD)
Asthma
Cystic fibrosis
Tracheobronchial or tracheoesophageal malformations

4

Endocrine differentials for FTT (5):

Thyroid dysfunction
Diabetes
Adrenal insufficiency
Pituitary disorders
Growth hormone deficiency

5

Neurologic differentials for FTT (5):

Mental retardation
Fetal alcohol syndrome
Lead poisoning
Prematurity
Neuroregulatory difficulties

6

Genetic differentials for FTT (1):

Mitochondrial diseases

7

Social-emotional and environmental differentials for FTT:

Maternal depression or other mental illness
Poverty/ inadequate resources
Inadequate parenting knowledge/ skills
Difficult temperament
Child abuse/ neglect

8

Diagnostic methods/findings--History:

Prenatal/ perinatal/ neonatal history
Complete diet history and feeding practices
Environmental history
Social history
Family history

9

Diagnostic methods/findings--Risk factors:

Prematurity
Low birth weight
Difficult temperament
Regulation problems
Social stresses

10

Diagnostic methods/findings--Growth:

Height
Weight
Head circumference
Longitudinal growth data
Correct for gestational age as appropriate
VS including BP

11

Diagnostic methods/findings--Physical exam:

Signs of underlying organic disease
Severity of malnutrition
Evidence of abuse or neglect
Feeding observation to assess for behavioral or interactional contributing factors

12

Diagnostic methods/findings--Laboratory assessment:

CBC
UA (if applicable)
CMP
Thyroid function
Sweat test (if concern)
Lead level (if concern based on history)
TB (if concern)
Bone age (if height is poor)