#ir #peds
FTT Investigations/Imaging
• Use your history and physical exam to guide your choice of
investigations
• Consider investigations to look for etiology and investigations to assess
for other deficiencies
• CBC, lytes, urea, creatinine, TSH, T4, U/A, celiac screen, vitamin A,D,E,
ferritin, calcium
• Consider karyotype, microarray, bone age (AP x‐ray of L hand and
wrist) if also short stature
Management
• Treat underlying cause
• Provide education about age‐appropriate foods, mealtime scheduling
and behaviour
• Caloric fortification of food
• May need referral to dietitian, social work
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Growthrament, 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
<span>Investigations/Imaging
• Use your history and physical exam to guide your choice of
investigations
• Consider investigations to look for etiology and investigations to assess
for other deficiencies
• CBC, lytes, urea, creatinine, TSH, T4, U/A, celiac screen, vitamin A,D,E,
ferritin, calcium
• Consider karyotype, microarray, bone age (AP x‐ray of L hand and
wrist) if also short stature
Management
• Treat underlying cause
• Provide education about age‐appropriate foods, mealtime scheduling
and behaviour
• Caloric fortification of food
• May need referral to dietitian, social work
Overweight and Obesity
Introduction
• Growth monitoring should be performed at primary care visits for
children and youth ages 17 and younger
• BMI = mass Summary
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Details