#ir #peds
FTT History
• Duration of problem, detailed dietary and feeding history, appetite,
behavior before and after feeds, BM history, vomiting
• Pregnancy, birth, birth weight, postpartum history, developmental
history, growth patterns
• Family patterns of growth including parental heights and age of
puberty
• Current illnesses, symptoms, past medical history
• Family relationships, detailed social history
• Assess child’s temperament, child‐parent interaction, feeding
behaviour, parental psychosocial issues
Physical Exam
• Ht/Wt/HC‐ plot on growth chart; compare to prior values
• HR, RR, BP
• Complete general physical examination
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Growth issues
• Parent not able to recognize child’s needs and respond to child’s cues
Environmental Factors
• Low SES, unemployment
• Lack of support, social isolation
• Lack of access to consistent medical care
<span>History
• Duration of problem, detailed dietary and feeding history, appetite,
behavior before and after feeds, BM history, vomiting
• Pregnancy, birth, birth weight, postpartum history, developmental
history, growth patterns
• Family patterns of growth including parental heights and age of
puberty
• Current illnesses, symptoms, past medical history
• Family relationships, detailed social history
• Assess child’s temperament, child‐parent interaction, feeding
behaviour, parental psychosocial issues
Physical Exam
• Ht/Wt/HC‐ plot on growth chart; compare to prior values
• HR, RR, BP
• Complete general physical examination
Investigations/Imaging
• Use your history and physical exam to guide your choice of
investigations
• Consider investigations to look for etiology and investiga Summary
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Details