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23 Cards in this Set
- Front
- Back
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Approximate expected growth in grams for the first 2 yrs
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Starts out at 20-30grams/day for 3 months then slowly drops down to 3-7g/day for last 3 months
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How long does it usually take to double birth weight? triple?
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Double by 4-6
Triple at a year |
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Average length at birth?
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20 inches (50 cm)
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Average growth from year to year?
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1yr : +10in
2yr : +5in 3yr : +2.5in 4yr : +2.5in =40 inches at 4yr |
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Average head circumference at birth?
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35cm
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Average head growth in first year?
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2cm/mo for 3mo
1cm/mo for 3mo 1/2 cm/mo for 6mo =+12cm in first year = ~47cm |
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Is it ok to cross growth curves?
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YES
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%'s about crossing growth curves?
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50% have an upward shift in 1st 3 months of life
30% have a downward shift between 3 and 18 months |
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What is the average age to find a new curve?
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13 months
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Define Failure to Thrive?
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Failure to gain wt over 2 month period
Weight below 3rd percentile? Crossing 2 percentiles? |
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Types of FTT and general Rx?
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Organic (20-30%): requires medical rx for physiological cause
Non-Organic (70-80%): Requires change in an environmental cause (e.g. psychosocial) |
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Areas to ask about when FTT is present?
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Dietary History
Feeding History Medical Hx Family Hx Social Hx |
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Keys to Physical of FTT infant?
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Replot Growth and Dev
Look for signs of neglect/abuse Dysmorphic Features? Cyanosis, Heart Murmur? Wasted Appearance? Bloated Abd? Neuro Dev? |
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Lab Tests?
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CBC w/ Diff
CMP WESR Urinalysis Thyroid studies |
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What does CMP test for?
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Electrolytes
Renal Fxn Acidosis |
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What does WESR test for?
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Inflammation
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If i'm short and my bone age is equal to my actual age
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Then you've got familial short stature
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What if i'm short and my bone age is less than my real age?
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then i've got constitutional delay (late bloomer)
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Rx for FTT?
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Address Red Flags on history
Increase Calories Alter Feeding Environment FOLLOW-UP |
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How can you alter the feeding environment to help Rx FTT?
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Limit feeding to 20-30 minutes in a happy, confined area w/ good modeling
Eat before Drink 10 tries to make em like new stuff |
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Long Term effects of FTT?
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Cognitive Fxn is below normal in 50% of FTT kids
At least somewhat due to the fact that maximal postnatal brain growth is in the first 6 months |
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Progression of decreased growth in Non-Organic FTT?
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Weight falls first
Then Length Then Head Circ |
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Progression in Organic FTT?
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Maybe Ht falls first or a combo of wt and ht
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