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#ir #peds
Differential Diagnosis:
Nonorganic/Psychosocial
-Most common cause of FTT, often seen in conjunction with organic FTT

Specific Organic Diseases
• Genetic: Turner/Downs/Russell Silver Syndrome, FAS, TORCH
• Cardiac: Chronic cardiac failure
• Pulmonary: Recurrent or chronic infections, Cystic Fibrosis
• GI: GERD, vomiting, IBD, chronic liver disease, malabsorption
syndromes (Celiac Disease, CF, Schwachman Diamond syndrome)
• Renal: Chronic renal failure, obstructive uropathies
• Endocrine: Hyperthyroidism, hypopituitarism, DM‐1, DI
• CNS: Difficulty coordinating swallow, MR, CP, Diencephalic Syndrome
• Haematology: Chronic hematologic disorders, malignancies
• Inflammatory/Immune: SLE, immunodeficiencies
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Growth
adequate absorption: pancreatic insufficiency, celiac disease • Increased utilization: chronic diseases, hyperthyroidism • Ineffective utilization: chromosomal disorders • Increased losses: chronic diarrhea, urinary losses <span>Differential Diagnosis Nonorganic/ Psychosocial Most common cause of FTT, often seen in conjunction with organic FTT Specific Organic Diseases • Genetic: Turner/Downs/Russell Silver Syndrome, FAS, TORCH • Cardiac: Chronic cardiac failure • Pulmonary: Recurrent or chronic infections, Cystic Fibrosis • GI: GERD, vomiting, IBD, chronic liver disease, malabsorption syndromes (Celiac Disease, CF, Schwachman Diamond syndrome) • Renal: Chronic renal failure, obstructive uropathies • Endocrine: Hyperthyroidism, hypopituitarism, DM‐1, DI • CNS: Difficulty coordinating swallow, MR, CP, Diencephalic Syndrome • Haematology: Chronic hematologic disorders, malignancies • Inflammatory/Immune: SLE, immunodeficiencies Risk Factors Child Factors • Premature, low birth weight • Feeding, sleep or elimination problems • Recurrent illness • Developmental delay Pare


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