failure to thrive

failure to thrive
Objectives
?To define failure to thrive (FTT)
?To identify major classification of FTT
• To discuss diagnostic workup of FTT
• To discuss treatment of FTT
Growth less than 3rd centile or crossing 2 major centile in short period
1- organic 2- non organic, 3-25% mixed
Prevalence
In developed countries= 5-10%
In developing countries=much
higher(poverty, malnutrition, HIV)
Psychosocial more common in developed countries
Selective Differential Dx
?Inadequate caloric intake
?Inadequate absorption
?Increased metabolism
?Defective utilization
Inadequate calorie intake
?Incorrect prep of formula
?Unsuitable feeding habits
?Behavior problems affecting eating
?Poverty and food shortage
?Neglect, Disturbed parent-child relationship
?Mechanical feeding difficulties
Inadequate absorption
?Celiac disease
?Cystic fibrosis
?Cow’s milk allergy
?Poverty and food shortage
?Vitamin or mineral deficiency
?Biliary atresia or liver disease
?Necrotizing enterocolitis or short gut