Ped Feed

Front 1

1. infant dis. caused by gut ischemia, prothrombotic state, IMMUNODEFICIENCY, decreased gut resistance to infection.. See a pneumatosis intestinalis?

Back 1

1. Necrotizing enterocolitis
Rx w/ broad spectrum antibiotcs, NPO, surgery

Front 2

ages:
1. introduce solid foods? (first solid food?)
2. fruits and vegetables? (fruit juice)
3. extra wate?

Back 2

1. 4-6 months (rice cereal b/c non allergic)
2. 6-8 months (not till after 1 yr)
3. 6 mo

offer 1 new food at a time 4 5-7 days to monitor for rxn

Front 3

1. why do you not give honey for a yr?
2. no peanus, egg whites, chocolate, wheat, soy, tree nuts, fish / shell fish until?
3. decision to introduce solids should be based on stage or age?

Back 3

1. risk of botulism
2. 1 yr
3. stage - sit up w/o support; self-control head; place objects in mouth

Front 4

-Need to gradually introduce texturs as well as solids
-Never force feed infant/toddler – could result in oral aversions
• Respond to their feeding cues – turning head away, falling asleep, becoming fussy, slowing the pace of eating, batting spoon way, etc.

Back 4

Mealtime environment is crucial:
1. Avoid feeding in the car (choking risk)
2. No eating in non-family related meals (in cars, T.V., etc.) to prevent obesity.
3. No “Grazing”
4. Avoid use of oral analgesics prior to feeding to prevent choking.

Front 5

1. age at which chewing and swallowing fully dvlpd
2. age at which choking hazard food (hot dogs, hard candy, peanuts) can be given?
3. age for self feeding and weaning to a cup

Back 5

1. 8 yo
2. 3 yo
3. 15 months

Front 6

1. term for a toddler preferentially liking 1-2 food groups
2. drinking tons of milk can lead to what vit def?
3. micronutrient supplementation should be givento?

Back 6

1. Food jags
2. Fe; other def include Ca, Zn, B6, Mg, Vit A
3. kids w/ chronic malabsorptive disease (CF, liver disease, IBD)

Front 7

1. causes chronic diarrhea due to carb load in toddlers
2. Any child failing to maintain growth above the 5th percentile for weight or height, in the absence of organic disease. due to MALNUTRITION

Back 7

1. fruit juice / soft drinks
2. Failure to thrive - majority of cases do not have a specific medical illness usu < 3 yo

Front 8

FTT clinicall due to: Neglect / abuse / improper formula preparation / improper parental food selection
DDx: malabsorption syndromes: pancratic insufficiency, celiac disease, parasite, bacteria viral

Back 8

CF - clinically
1. Pulmonary disease 2. Gastrointestinal disease
3. Pubertal delay (malnutrition) 4. Fertility: Azoospermia (98% of CF males); females with decreased fertility rate. 5. CF-related diabetes mellitus 6. Osteopenia / osteoporosis 7. Psychological factors / HRQOL

Front 9

1. periorbital edema, ascites/hepatomegaly, low serum albumin, skin lesions, apathy
2. alopecia, m. wasting, fat loss, no edema, skin and bones

Back 9

1. Kwashiorkor - protein deficiency, portal steatosis
2. marasmus -> need to increase nutrition little by little

Front 10

1. ass. w/ DQ2 & DQ8 haplotype, permanent sensitivity to gluten (oatmeal, rye wheat)
2. significance of 1?
3. term for frequent malodorous greasy stools

Back 10

1. celiac disease
2. leads to malabsorption
3. steatorrhea

Front 11

1. See flattened/blunted villi, abdominal distention, anorexia, chronic or recurrent D, FTT, wt loss, irritability, m. wasting
2. most common cause of pancreatic insufficiency (PI)

Back 11

1. Celiac disease
2. Cystic fibrosis

Front 12

1. what is steatorrhea definitive of ?
2. malabsorption of what?
3. what has granulomas, skip lesions, extra-intestinal manifestatino, trans mural inflammation?

Back 12

1. pancreatic exocrine deficiency
2. fat soluble vitamins (ADEK)
3. Chrohns disease