Failure to Thrive
Previously Failure to thrive (FTT)
Now paediatric undernutrition or weight faltering
Define: abnormal weight gain in <2yo
drop of 2 major centiles
drop to <3rd centile on 2 occasions
<80% of median age
Acute drop = stunted
if starts to affect height = stunted
Short stature without wasting is not FTT
Etiology
Hypoxia (Resp, Cardio, Anaemia)
Love
...
Ix
Hb
Albumin
Urine ACR
Stool calprotectin
Coeliac serology
TSH
Complications disease
Developmental delay
Complications of treatment
Refeeding
Now paediatric undernutrition or weight faltering
Define: abnormal weight gain in <2yo
drop of 2 major centiles
drop to <3rd centile on 2 occasions
<80% of median age
Acute drop = stunted
if starts to affect height = stunted
Short stature without wasting is not FTT
Etiology
Hypoxia (Resp, Cardio, Anaemia)
- Bronchiectasis
- CHD
- CF
- Recurrent infection (Immunodeficiency)
Love
...
Ix
Hb
Albumin
Urine ACR
Stool calprotectin
Coeliac serology
TSH
Complications disease
Developmental delay
Complications of treatment
Refeeding