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18 Cards in this Set
- Front
- Back
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What are the clinical manifestations of failure to thrive?
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decreased weight
decreased height/head circ. alopecia dermatitis infections Marasmus/Kwashiorkor |
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Most babies regain birth weight in ________
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2 weeks
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Most babies gain ________ per day.
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20-30 grams
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Most 10 y/o weigh ______
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10kg (22lbs)
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Most 4 y/o weigh ________and are _____ tall
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40 lbs
40 inches |
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How much do infants need to consume per day for proper growth?
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100-120 kcal/kg/day
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What labs would you order for a child with FTT if no cause can be determined through H/P?
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CBC (anemia)
TSH/Free T4 A/U & culture Chem panel |
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When should you consider hospitalizing a child with FTT?
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-severe malnutrition
-need for further work up -failed to catch up out-patient -need to observe parent/child interactions |
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What is the normal growth rate for young children?
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5cm/yr (2 inches)
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A parent brings her child to your office because he is short for his age. He is chubby and cherubic looking. What is the probable cause and what is the next step to confirm it?
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growth hormone deficiency
order hormone testing and neuroimaging of hypothalamic/pituitary axis |
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What are the causes of congenital short stature?
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chromosome abnormality
TORCH or maternal infection teratogens (etoh, seizure meds) prematurity placental insufficiency |
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What is adrenarche?
At what age does it begin? |
adrenal glands "wake up" and may start getting body odor
age 6 + |
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What is thelarche?
At what age does it begin? |
stage when breasts develope
8-13 yrs |
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What is pubarche?
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stage when puberty occurs due to hypothalamic/pituitary/gonad axis activation
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When do boys typically show their first sign of puberty?
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9 1/2 yrs
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When should you consider a diagnosis of delayed puberty for girls or boys?
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No sign of secondary sexual characteristics by
Age 13 - girls Age 14 - boys |
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What labs do you order for teens with delayed puberty?
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LH
FSH Bone Age Thyroid function |
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Any signs of secondary sex characteristics in girls before 8yrs and boys before 9 yrs is considered ___________
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precocious puberty
may not require work up in Caucasion girls after age 7 or African American girls after age 6 |
