Emergency Department Management of Patients With Failure to Thrive | Digest
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Emergency Department Management of Patients With Failure to Thrive

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Points & Pearls Excerpt

  • The following criteria can be used to identify patients with failure to thrive (FTT): weight deceleration crossing more than 2 percentile lines, weight for chronological age below the fifth percentile, and length for chronological age below the fifth percentile.
  • Organic causes of FTT should be ruled out before deciding the cause is nonorganic. Examples of organic causes of FTT include congenital heart disease, gastrointestinal etiologies (eg, chronic malnutrition, pyloric stenosis, reflux, food insensitivities, celiac disease, cystic fibrosis, cow’s milk protein intolerance), hyperthyroidism, congenital nephrogenic diabetes insipidus, renal tubular acidosis, asthma, choanal atresia, malignancy, and anatomic/genetic abnormalities (eg, cleft lip/palate, trisomy 21).
  • Clinicians must have a high index of suspicion for nonaccidental trauma and/or neglect, as they can also result in FTT.
  • Inquire about difficulty with feeding, types of feeds, frequency of feeds, and feeding technique.

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Publication Information
Authors

Vincent Calleo, MD; Ryan Surujdeo, MD, Asalim Thabet, MD

Peer Reviewed By

John W. Harrington, MD; Gretchen Homan, MD, FAAP

Publication Date

March 2, 2020

CME Expiration Date

April 3, 2023

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.

Pub Med ID: 32115935

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