#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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Growthadequate 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 Summary
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Details