Failure to thrive (FTT)
•Download as PPTX, PDF•
15 likes•4,198 views
This document discusses failure to thrive in children. It defines failure to thrive as inadequate growth or inability to maintain growth in early childhood. It notes that failure to thrive can be organic or non-organic. Two common organic causes discussed are celiac disease and pyloric stenosis. Celiac disease causes malabsorption due to damage to the small intestine from gluten. Pyloric stenosis causes failure to thrive due to a narrowing of the pylorus which prevents food from exiting the stomach.
Report
Share
Report
Share
Recommended
Failure to thrive (nidz)
Failure to thrive (FTT) refers to inadequate growth in infants and children. It is defined as weight below the 3rd percentile on a growth chart or a significant drop off from a previously established growth curve. FTT can be organic, resulting from medical causes like prematurity or malnutrition, or inorganic, caused by non-medical factors like poor parenting or neglect. Evaluation involves a thorough history, physical exam, and basic lab tests. Treatment focuses on identifying and addressing the underlying cause while ensuring adequate calorie intake through increased feeding or supplementation. Early diagnosis and intervention are important to prevent long term developmental and health impacts of prolonged malnutrition.
Failure To Thrive With Notes
- Failure to thrive is defined as inadequate physical growth diagnosed by observing growth trends on standard growth charts.
- It can be classified as organic (caused by medical issues) or nonorganic (caused by psychosocial factors) and further divided into prenatal or postnatal categories.
- Evaluating a child for failure to thrive involves taking a thorough history including feeding and medical history, performing a physical exam, and ordering basic screening labs tailored to the child's history and exam findings.
- Treatment focuses on increasing caloric intake to promote catch-up growth, addressing any underlying medical issues, modifying feeding behaviors, and involving psychosocial support services if nonorganic causes are suspected.
Approach to a child with failure to thrive
This document discusses failure to thrive (FTT) in children. It defines FTT as inadequate physical growth compared to peers. FTT can be caused by inadequate calorie intake, absorption, increased needs, or utilization. It affects 5-10% of young children. Causes include psychosocial factors, infections, gastrointestinal issues, and neurological problems. Evaluation of a child with FTT involves medical history, physical exam, lab tests, and assessing nutrition. Treatment focuses on improving the child's diet and development stimulation, caregiver skills, and treating any underlying medical issues. Regular follow up is also important.
Ftt
FTT describes inadequate growth in children and is diagnosed using growth charts. It affects 5-10% of young children. Causes include inadequate caloric intake, absorption issues, increased needs, or defective utilization. Organic causes stem from medical issues while inorganic are due to caregiver actions. Diagnosis involves history, exam, and tests like bloodwork and growth monitoring. Management focuses on optimal nutrition, supportive environment, education, and follow up to promote catch up growth. Prognosis depends on duration and treatment of the underlying cause.
Pediatrics: Failure To Thrive
pediatric, growth, malnutrition, sdoh, social determinants, weight, children, breastfeeding, formula, juice, calories, health, knowledge,
CARE OF LOW BIRTH WEIGHT CHILDREN
This document provides information on the care of low birth weight infants, including preterm babies. It discusses that low birth weight babies account for 25-35% of births in India compared to 5-7% in western countries. Preterm birth is a major cause of neonatal mortality. The document outlines the physiological handicaps that preterm infants face in various body systems like the central nervous system, respiratory system, and thermoregulation. It emphasizes the importance of monitoring preterm infants closely and providing supportive care like kangaroo mother care to improve outcomes.
Failure to thrive
This document provides information on failure to thrive (FTT) in children. It defines FTT as falling below certain growth percentiles for height and weight. FTT can be classified as mild, moderate or severe based on height and weight percentiles. It can be organic, caused by medical issues, or non-organic, caused by psychological or environmental factors like neglect. Common causes of FTT include prematurity, low birth weight, genetic or medical issues, poor nutrition, and social factors like poverty. Diagnosis involves physical exams, anthropometric measurements, laboratory tests to check for issues like anemia, and nutritional evaluations. Treatment aims to achieve catch-up growth through nutritional intervention and addressing any underlying medical or social causes.
Approach to a child with failure to thrive
This document provides information on the approach to a child with failure to thrive. It defines failure to thrive as inadequate calorie intake resulting in weight for height below the 2nd standard deviation. Potential causes of failure to thrive include inadequate food intake, malabsorption, and increased metabolic demands. Inadequate intake can be due to problems with ordering, preparing, or taking in enough food. Malabsorption may result from conditions like cystic fibrosis or celiac disease. Increased metabolic demands occur in infections, genetic syndromes, and other chronic diseases. A thorough history, physical exam, and diagnostic workup considering biological, psychosocial, nutritional, and medical factors is needed to identify the underlying cause.
Recommended
Failure to thrive (nidz)
Failure to thrive (FTT) refers to inadequate growth in infants and children. It is defined as weight below the 3rd percentile on a growth chart or a significant drop off from a previously established growth curve. FTT can be organic, resulting from medical causes like prematurity or malnutrition, or inorganic, caused by non-medical factors like poor parenting or neglect. Evaluation involves a thorough history, physical exam, and basic lab tests. Treatment focuses on identifying and addressing the underlying cause while ensuring adequate calorie intake through increased feeding or supplementation. Early diagnosis and intervention are important to prevent long term developmental and health impacts of prolonged malnutrition.
Failure To Thrive With Notes
- Failure to thrive is defined as inadequate physical growth diagnosed by observing growth trends on standard growth charts.
- It can be classified as organic (caused by medical issues) or nonorganic (caused by psychosocial factors) and further divided into prenatal or postnatal categories.
- Evaluating a child for failure to thrive involves taking a thorough history including feeding and medical history, performing a physical exam, and ordering basic screening labs tailored to the child's history and exam findings.
- Treatment focuses on increasing caloric intake to promote catch-up growth, addressing any underlying medical issues, modifying feeding behaviors, and involving psychosocial support services if nonorganic causes are suspected.
Approach to a child with failure to thrive
This document discusses failure to thrive (FTT) in children. It defines FTT as inadequate physical growth compared to peers. FTT can be caused by inadequate calorie intake, absorption, increased needs, or utilization. It affects 5-10% of young children. Causes include psychosocial factors, infections, gastrointestinal issues, and neurological problems. Evaluation of a child with FTT involves medical history, physical exam, lab tests, and assessing nutrition. Treatment focuses on improving the child's diet and development stimulation, caregiver skills, and treating any underlying medical issues. Regular follow up is also important.
Ftt
FTT describes inadequate growth in children and is diagnosed using growth charts. It affects 5-10% of young children. Causes include inadequate caloric intake, absorption issues, increased needs, or defective utilization. Organic causes stem from medical issues while inorganic are due to caregiver actions. Diagnosis involves history, exam, and tests like bloodwork and growth monitoring. Management focuses on optimal nutrition, supportive environment, education, and follow up to promote catch up growth. Prognosis depends on duration and treatment of the underlying cause.
Pediatrics: Failure To Thrive
pediatric, growth, malnutrition, sdoh, social determinants, weight, children, breastfeeding, formula, juice, calories, health, knowledge,
CARE OF LOW BIRTH WEIGHT CHILDREN
This document provides information on the care of low birth weight infants, including preterm babies. It discusses that low birth weight babies account for 25-35% of births in India compared to 5-7% in western countries. Preterm birth is a major cause of neonatal mortality. The document outlines the physiological handicaps that preterm infants face in various body systems like the central nervous system, respiratory system, and thermoregulation. It emphasizes the importance of monitoring preterm infants closely and providing supportive care like kangaroo mother care to improve outcomes.
Failure to thrive
This document provides information on failure to thrive (FTT) in children. It defines FTT as falling below certain growth percentiles for height and weight. FTT can be classified as mild, moderate or severe based on height and weight percentiles. It can be organic, caused by medical issues, or non-organic, caused by psychological or environmental factors like neglect. Common causes of FTT include prematurity, low birth weight, genetic or medical issues, poor nutrition, and social factors like poverty. Diagnosis involves physical exams, anthropometric measurements, laboratory tests to check for issues like anemia, and nutritional evaluations. Treatment aims to achieve catch-up growth through nutritional intervention and addressing any underlying medical or social causes.
Approach to a child with failure to thrive
This document provides information on the approach to a child with failure to thrive. It defines failure to thrive as inadequate calorie intake resulting in weight for height below the 2nd standard deviation. Potential causes of failure to thrive include inadequate food intake, malabsorption, and increased metabolic demands. Inadequate intake can be due to problems with ordering, preparing, or taking in enough food. Malabsorption may result from conditions like cystic fibrosis or celiac disease. Increased metabolic demands occur in infections, genetic syndromes, and other chronic diseases. A thorough history, physical exam, and diagnostic workup considering biological, psychosocial, nutritional, and medical factors is needed to identify the underlying cause.
Failure to thrive
Failure to thrive is defined as sustained weight loss or failure to gain weight resulting in a child's weight falling below normal growth curves. It can be caused by inadequate nutrition intake, increased calorie needs, or issues with absorption. Evaluation involves assessing growth charts, nutrition intake, physical exam for signs of organic disease, and laboratory tests if indicated. Management goals are nutritional rehabilitation, treating any underlying medical causes, and addressing psychosocial factors. The prognosis depends on the etiology, with psychosocial causes having risks of developmental delays and organic causes having variable outcomes based on the specific condition.
Feeding problems in children
Common feeding problems in infants and young children include spitting up, vomiting, overfeeding, and underfeeding. Spitting up is normal for infants but vomiting requires medical attention. Overfeeding can lead to obesity while underfeeding causes failure to thrive. Proper feeding techniques and nutrition are important to address feeding problems and ensure healthy growth. Some issues may require intervention from medical professionals or social services.
Prematurity and IUGR
This document discusses prematurity, intrauterine growth restriction (IUGR), and their associated risks and management. It covers:
- Definitions and types of prematurity and IUGR
- Characteristics and causes of symmetric vs asymmetric IUGR
- Problems that can occur in IUGR and premature infants like respiratory distress, hypoglycemia, and intraventricular hemorrhage
- Factors associated with IUGR including placental and maternal factors
- Guidelines for admission to the neonatal intensive care unit (NICU)
- Important aspects of care in the NICU like temperature control, respiratory support, fluid management, and infection control
Failure To Thrive by Pamudith Karunaratne
This is an undergraduate presentation on failure to thrive in Pediatrics. In this presentation I mentioned about Diagnosis, Etiology, Etiology, Diagnostic Evaluation and Management.
https://orcid.org/0000-0001-9306-2267
https://1drv.ms/p/s!Am9GQ5GMX-WyjmOfgcNpov4RewVL
Pamudith Karunaratne
Pica disorder
Pica is an eating disorder characterized by persistent eating of non-nutritive substances for over a month. It is more common in children, women, and those with developmental disabilities or nutritional deficiencies. Types include eating clay, ice, laundry starch, or lead paint chips. While the cause is uncertain, factors like nutritional deficiencies, cultural practices, psychological trauma, and neglect may play a role. Pica can cause health issues like anemia, lead poisoning, and gastrointestinal complications. Treatment focuses on addressing the underlying cause, behavioral therapy, and preventing access to harmful substances.
Failure to thrive
Failure to thrive is a syndrome characterized by unintentional weight loss, decreased appetite, and functional decline. It is caused by a complex interaction of medical, physical, psychological, social, and nutritional factors. Evaluation involves assessing for underlying diseases, nutritional status, functional and cognitive abilities, and depression. Treatment focuses on addressing reversible causes, improving nutrition, managing depression, and increasing physical activity and strength through a multidisciplinary approach.
Aaradhana pem-1611101
Protein-energy malnutrition (PEM) refers to a range of pathological conditions caused by insufficient protein and calories. It most commonly affects infants and young children. The main forms of PEM are kwashiorkor, marasmus, nutritional dwarfing, underweight, and stunting. Kwashiorkor is characterized by edema and skin changes and is caused by low protein intake with adequate calories. Marasmus involves severe wasting and is caused by low energy intake. PEM is a major global issue, affecting over 1/3 of the world's population, especially in Asia and Africa. Causes include poverty, poor hygiene, frequent infections, and inappropriate feeding practices. Treatment involves medical care, dietary management with nutrient-dense foods
Severe acute malnutrition by efe obasohan
This document outlines definitions, epidemiology, types, classification, causes, theories, clinical presentation, investigations, treatment, differential diagnosis, prevention and prognosis of severe acute malnutrition. It defines malnutrition as an imbalance between nutrient supply and demand, and severe acute malnutrition as severe wasting and/or bilateral edema. The epidemiology section notes that SAM affects 20 million children under 5 globally and is a major cause of childhood mortality. Causes are discussed at immediate, underlying and remote levels including inadequate food intake, disease, poverty and cultural factors. The classical theory of variable energy and protein deficiency is described.
Modern concept in Pediatrics
This document discusses the history and modern concepts of pediatric nursing. It defines pediatrics as the branch of medicine dealing with child health from conception to adolescence. Key figures who advanced pediatrics include Hippocrates, Kashyapa, and Abraham Jacob, considered the father of pediatrics. Major developments included the first pediatric hospitals in the 1800s and the establishment of organizations to promote child health internationally like UNICEF and WHO. Current pediatric nursing focuses on advocating for children and families, communicating with children, educating the public, and providing collaborative care. The growth of modern pediatrics has been driven by advances in medical science, basic science, public health initiatives, improved laws and facilities for children.
Failure to thrive
- A 10-month-old Saudi girl presented to the emergency room with fever and diarrhea for 2 days. She was born prematurely at 30 weeks and had a history of respiratory distress, brain hemorrhage, and necrotizing enterocolitis as a newborn. On examination, she had a high fever but was not dehydrated. Laboratory tests showed abnormalities including low thyroid function and low albumin levels. She was diagnosed with failure to thrive likely due to her prematurity and past medical history. She received nutritional management and thyroid replacement therapy.
Malabsorption in pediatrics
This document discusses disorders of malabsorption. It notes that malabsorption can result from defects in nutrient digestion or absorption in the small intestine. Symptoms include diarrhea, abdominal distension, failure to gain weight, and malnutrition. Causes discussed include generalized mucosal abnormalities, specific nutrient malabsorption, celiac disease, microvillous inclusion disease, congenital tufting enteropathy, and others. Diagnostic testing and management are also covered.
Temper Tantrums
This document discusses temper tantrums in children between 18 months and 4 years old. It covers the epidemiology, etiology, clinical features, examination, laboratory tests, and management of temper tantrums. Temper tantrums typically occur once a day and last 1-3 minutes, but in some cases can occur more than 5 times a day and last over 15 minutes. Management involves nonpharmacological approaches like remaining calm, ignoring the tantrum, and distracting the child, as well as potential pharmacological interventions for conditions exacerbating tantrums.
Low birth weight baby
This document discusses low birth weight babies, including definitions and causes. It notes that low birth weight can be due to preterm birth or intrauterine growth restriction. Common causes include maternal medical issues, placental problems, and social factors like poverty. Management depends on birth weight and may involve home care, hospital care, or neonatal intensive care. Kangaroo mother care is described as an effective way to care for low birth babies. Intrauterine growth restriction can lead to complications and is diagnosed through ultrasound and history.
Cow milk protein energy
Cow's milk protein allergy (CMPA) is the leading cause of food allergy in infants and young children, affecting approximately 5-15% of infants. Breastfeeding reduces the risk of CMPA to around 0.5% compared to formula-fed infants who have a higher risk. CMPA results from an immune reaction to proteins in cow's milk and can cause symptoms in the gastrointestinal, skin, and respiratory systems. Diagnosis involves an elimination diet and oral food challenge. Extensively hydrolyzed formulas are recommended for mild-moderate CMPA, while amino acid-based formulas are used for severe cases.
Management Of Failure To Thrive
Management Of Failure To Thrive, Problem Solving Session.
Block 3.4 ( Life Cycle II)
College of Medicine, King Faisal University
Al-Ahsa, Saudi Arabia
Pediatric malabsorption syndromes
The document discusses the importance of the gastrointestinal tract and its functions of digestion and absorption. It provides details on the digestion of carbohydrates, proteins, lipids, and vitamins/minerals in the GI tract. Key enzymes and their sites of action are identified. Malabsorption syndromes are then examined, including causes, classification, epidemiology, clinical presentation, and relevant laboratory studies. Overall, the document emphasizes the critical role of proper GI function for overall health and nutrition.
Encopresis
This document provides an overview of encopresis, including its definition, epidemiology, etiology, clinical presentation, diagnosis, treatment, and prognosis. Encopresis is the involuntary passage of stool in children over 4 years old without direct physiological causes. It often results from chronic constipation and the retention of large stools. Diagnosis involves evaluating the child's bowel habits and conducting tests to rule out other causes. Treatment focuses on disimpaction and prevention of recurrence through increased fiber, laxatives, toilet training, and behavior therapy. Prognosis is generally good with resolution of constipation.
Pica (In pediatrics)
Pica is explained in very simple wording and style by the help of a scenario. Easy to remember and present due to interesting pictures. Helpful for medical students, parents having child with pica and knowledge seekers.
Failure To Thrive
learn something about FTT, its etiologies,classofication,clinical features, growth curves, possible investigations and principles of managment
Cow milk protein allergy
PPT on cow milk protein allergy. Covering all basics and recommendations from Indian Association of Pediatrics.
Dr. David Pearson -- Failure to Thrive
Understanding Failure to Thrive –We know that about half the population of children in India are stunted. This means they are very likely to mental health and developmental problems. We need to know what these problems are, if we are to design programmes to help these children out of this situation.
Dr. David Pearson, Consultant Clinical Psychologist
Failure to Thrive: A Case Study
A 5-month-old female infant presented with fever and vomiting and was diagnosed with failure to thrive and an acute febrile illness. Labs showed hypothyroidism and malnutrition. The patient was started on levothyroxine and a higher calorie formula. After one week of treatment, the patient's thyroid levels normalized and intake improved, though the family was counseled to further increase calorie intake to support adequate growth.
More Related Content
What's hot
Failure to thrive
Failure to thrive is defined as sustained weight loss or failure to gain weight resulting in a child's weight falling below normal growth curves. It can be caused by inadequate nutrition intake, increased calorie needs, or issues with absorption. Evaluation involves assessing growth charts, nutrition intake, physical exam for signs of organic disease, and laboratory tests if indicated. Management goals are nutritional rehabilitation, treating any underlying medical causes, and addressing psychosocial factors. The prognosis depends on the etiology, with psychosocial causes having risks of developmental delays and organic causes having variable outcomes based on the specific condition.
Feeding problems in children
Common feeding problems in infants and young children include spitting up, vomiting, overfeeding, and underfeeding. Spitting up is normal for infants but vomiting requires medical attention. Overfeeding can lead to obesity while underfeeding causes failure to thrive. Proper feeding techniques and nutrition are important to address feeding problems and ensure healthy growth. Some issues may require intervention from medical professionals or social services.
Prematurity and IUGR
This document discusses prematurity, intrauterine growth restriction (IUGR), and their associated risks and management. It covers:
- Definitions and types of prematurity and IUGR
- Characteristics and causes of symmetric vs asymmetric IUGR
- Problems that can occur in IUGR and premature infants like respiratory distress, hypoglycemia, and intraventricular hemorrhage
- Factors associated with IUGR including placental and maternal factors
- Guidelines for admission to the neonatal intensive care unit (NICU)
- Important aspects of care in the NICU like temperature control, respiratory support, fluid management, and infection control
Failure To Thrive by Pamudith Karunaratne
This is an undergraduate presentation on failure to thrive in Pediatrics. In this presentation I mentioned about Diagnosis, Etiology, Etiology, Diagnostic Evaluation and Management.
https://orcid.org/0000-0001-9306-2267
https://1drv.ms/p/s!Am9GQ5GMX-WyjmOfgcNpov4RewVL
Pamudith Karunaratne
Pica disorder
Pica is an eating disorder characterized by persistent eating of non-nutritive substances for over a month. It is more common in children, women, and those with developmental disabilities or nutritional deficiencies. Types include eating clay, ice, laundry starch, or lead paint chips. While the cause is uncertain, factors like nutritional deficiencies, cultural practices, psychological trauma, and neglect may play a role. Pica can cause health issues like anemia, lead poisoning, and gastrointestinal complications. Treatment focuses on addressing the underlying cause, behavioral therapy, and preventing access to harmful substances.
Failure to thrive
Failure to thrive is a syndrome characterized by unintentional weight loss, decreased appetite, and functional decline. It is caused by a complex interaction of medical, physical, psychological, social, and nutritional factors. Evaluation involves assessing for underlying diseases, nutritional status, functional and cognitive abilities, and depression. Treatment focuses on addressing reversible causes, improving nutrition, managing depression, and increasing physical activity and strength through a multidisciplinary approach.
Aaradhana pem-1611101
Protein-energy malnutrition (PEM) refers to a range of pathological conditions caused by insufficient protein and calories. It most commonly affects infants and young children. The main forms of PEM are kwashiorkor, marasmus, nutritional dwarfing, underweight, and stunting. Kwashiorkor is characterized by edema and skin changes and is caused by low protein intake with adequate calories. Marasmus involves severe wasting and is caused by low energy intake. PEM is a major global issue, affecting over 1/3 of the world's population, especially in Asia and Africa. Causes include poverty, poor hygiene, frequent infections, and inappropriate feeding practices. Treatment involves medical care, dietary management with nutrient-dense foods
Severe acute malnutrition by efe obasohan
This document outlines definitions, epidemiology, types, classification, causes, theories, clinical presentation, investigations, treatment, differential diagnosis, prevention and prognosis of severe acute malnutrition. It defines malnutrition as an imbalance between nutrient supply and demand, and severe acute malnutrition as severe wasting and/or bilateral edema. The epidemiology section notes that SAM affects 20 million children under 5 globally and is a major cause of childhood mortality. Causes are discussed at immediate, underlying and remote levels including inadequate food intake, disease, poverty and cultural factors. The classical theory of variable energy and protein deficiency is described.
Modern concept in Pediatrics
This document discusses the history and modern concepts of pediatric nursing. It defines pediatrics as the branch of medicine dealing with child health from conception to adolescence. Key figures who advanced pediatrics include Hippocrates, Kashyapa, and Abraham Jacob, considered the father of pediatrics. Major developments included the first pediatric hospitals in the 1800s and the establishment of organizations to promote child health internationally like UNICEF and WHO. Current pediatric nursing focuses on advocating for children and families, communicating with children, educating the public, and providing collaborative care. The growth of modern pediatrics has been driven by advances in medical science, basic science, public health initiatives, improved laws and facilities for children.
Failure to thrive
- A 10-month-old Saudi girl presented to the emergency room with fever and diarrhea for 2 days. She was born prematurely at 30 weeks and had a history of respiratory distress, brain hemorrhage, and necrotizing enterocolitis as a newborn. On examination, she had a high fever but was not dehydrated. Laboratory tests showed abnormalities including low thyroid function and low albumin levels. She was diagnosed with failure to thrive likely due to her prematurity and past medical history. She received nutritional management and thyroid replacement therapy.
Malabsorption in pediatrics
This document discusses disorders of malabsorption. It notes that malabsorption can result from defects in nutrient digestion or absorption in the small intestine. Symptoms include diarrhea, abdominal distension, failure to gain weight, and malnutrition. Causes discussed include generalized mucosal abnormalities, specific nutrient malabsorption, celiac disease, microvillous inclusion disease, congenital tufting enteropathy, and others. Diagnostic testing and management are also covered.
Temper Tantrums
This document discusses temper tantrums in children between 18 months and 4 years old. It covers the epidemiology, etiology, clinical features, examination, laboratory tests, and management of temper tantrums. Temper tantrums typically occur once a day and last 1-3 minutes, but in some cases can occur more than 5 times a day and last over 15 minutes. Management involves nonpharmacological approaches like remaining calm, ignoring the tantrum, and distracting the child, as well as potential pharmacological interventions for conditions exacerbating tantrums.
Low birth weight baby
This document discusses low birth weight babies, including definitions and causes. It notes that low birth weight can be due to preterm birth or intrauterine growth restriction. Common causes include maternal medical issues, placental problems, and social factors like poverty. Management depends on birth weight and may involve home care, hospital care, or neonatal intensive care. Kangaroo mother care is described as an effective way to care for low birth babies. Intrauterine growth restriction can lead to complications and is diagnosed through ultrasound and history.
Cow milk protein energy
Cow's milk protein allergy (CMPA) is the leading cause of food allergy in infants and young children, affecting approximately 5-15% of infants. Breastfeeding reduces the risk of CMPA to around 0.5% compared to formula-fed infants who have a higher risk. CMPA results from an immune reaction to proteins in cow's milk and can cause symptoms in the gastrointestinal, skin, and respiratory systems. Diagnosis involves an elimination diet and oral food challenge. Extensively hydrolyzed formulas are recommended for mild-moderate CMPA, while amino acid-based formulas are used for severe cases.
Management Of Failure To Thrive
Management Of Failure To Thrive, Problem Solving Session.
Block 3.4 ( Life Cycle II)
College of Medicine, King Faisal University
Al-Ahsa, Saudi Arabia
Pediatric malabsorption syndromes
The document discusses the importance of the gastrointestinal tract and its functions of digestion and absorption. It provides details on the digestion of carbohydrates, proteins, lipids, and vitamins/minerals in the GI tract. Key enzymes and their sites of action are identified. Malabsorption syndromes are then examined, including causes, classification, epidemiology, clinical presentation, and relevant laboratory studies. Overall, the document emphasizes the critical role of proper GI function for overall health and nutrition.
Encopresis
This document provides an overview of encopresis, including its definition, epidemiology, etiology, clinical presentation, diagnosis, treatment, and prognosis. Encopresis is the involuntary passage of stool in children over 4 years old without direct physiological causes. It often results from chronic constipation and the retention of large stools. Diagnosis involves evaluating the child's bowel habits and conducting tests to rule out other causes. Treatment focuses on disimpaction and prevention of recurrence through increased fiber, laxatives, toilet training, and behavior therapy. Prognosis is generally good with resolution of constipation.
Pica (In pediatrics)
Pica is explained in very simple wording and style by the help of a scenario. Easy to remember and present due to interesting pictures. Helpful for medical students, parents having child with pica and knowledge seekers.
Failure To Thrive
learn something about FTT, its etiologies,classofication,clinical features, growth curves, possible investigations and principles of managment
Cow milk protein allergy
PPT on cow milk protein allergy. Covering all basics and recommendations from Indian Association of Pediatrics.
What's hot (20)
Viewers also liked
Dr. David Pearson -- Failure to Thrive
Understanding Failure to Thrive –We know that about half the population of children in India are stunted. This means they are very likely to mental health and developmental problems. We need to know what these problems are, if we are to design programmes to help these children out of this situation.
Dr. David Pearson, Consultant Clinical Psychologist
Failure to Thrive: A Case Study
A 5-month-old female infant presented with fever and vomiting and was diagnosed with failure to thrive and an acute febrile illness. Labs showed hypothyroidism and malnutrition. The patient was started on levothyroxine and a higher calorie formula. After one week of treatment, the patient's thyroid levels normalized and intake improved, though the family was counseled to further increase calorie intake to support adequate growth.
Nutrition case study
This document provides an overview of a 58-year-old female patient who underwent a sleeve gastrectomy surgery in July 2013 and experienced complications including a persistent gastric leak. It discusses her medical and surgical history, the nutrition care process being followed including assessments, diagnosis of altered GI function, interventions of initiating TPN and monitoring, and follow-up evaluations showing tolerance of TPN and a full liquid diet. The summaries provide the high-level details about the patient's history, surgery, complications, nutrition care and progress.
Growth Disorders
This document provides an overview of growth disorders including short and tall stature. It discusses the evaluation and causes of short stature such as growth hormone deficiency, Turner syndrome, and Prader-Willi syndrome. For growth hormone deficiency, it outlines the diagnostic process including stimulation tests and treatment with growth hormone. For tall stature, it reviews genetic, hormonal, and syndromic causes such as familial tall stature, precocious puberty, and Marfan syndrome.
Juvenile+Rheumatoid+Arthritis+slides+
Juvenile rheumatoid arthritis (JRA) is a general term for arthritis in children. It is characterized by joint inflammation, swelling, and pain. There are different subtypes classified by the number and pattern of involved joints. Treatment has shifted to more aggressive early treatment with medications to prevent long-term joint damage, and may include NSAIDs, disease-modifying antirheumatic drugs like methotrexate, biologic medications, and corticosteroids depending on the subtype and severity of symptoms. JRA can cause long-term disabilities but early treatment aims to improve prognosis and prevent complications.
Protein Energy malnutrition
Protein Energy Malnutrition (PEM) is a condition arising from lack of protein and calories that mostly affects infants and children in developing countries, with India home to the largest number of malnourished children worldwide. PEM is assessed using indicators like weight-for-age, height-for-age, mid-upper arm circumference, and skin fold thickness. Management of PEM focuses on treating hypoglycemia, hypothermia, infections, and other conditions while gradually increasing nutrient intake to support catch-up growth.
Malnutrition
The document outlines a lecture plan on malnutrition (hypotrophy) and protein-energy malnutrition. It begins with definitions of malnutrition and dystrophy. It then discusses the etiology and pathophysiology of malnutrition as well as classifications such as marasmus and kwashiorkor. The clinical manifestations are described including trophic disorders, gastrointestinal disorders, CNS dysfunctions, and immunological disorders. Laboratory tests and treatment/prevention are also mentioned. Globally, malnutrition remains a major health problem, especially in developing countries, and is a primary cause of childhood mortality.
Protein Energy Malnutrition
This document discusses malnutrition and provides definitions and descriptions of different types. It begins by defining malnutrition and protein-energy malnutrition. It then describes marasmus and kwashiorkor, two types of protein-energy malnutrition. Marasmus is characterized by energy deficiency and emaciation, while kwashiorkor is caused by protein deficiency and causes fluid retention. The document also discusses the prevalence of malnutrition in India, clinical features, symptoms, differences between marasmus and kwashiorkor, and etiological factors of protein-energy malnutrition.
Japanese encephalitis
This document describes a case of a 30 year old male who was admitted to a private hospital on the 2nd day of fever in a non-responsive state with no eye opening, limb movement, or abnormal movements. On the 3rd day, the patient experienced abnormal movements including uprolling of eyes and generalized tonic-clonic seizures of all four limbs with two similar episodes on the 4th and 5th days. The fever was moderate to high grade and the patient remained in an altered sensorium following the seizures.
Betta or fighter fish ppt
This PPT provides some facts and knowledge about betta or fighter fish.It include the life cycle of fighter fish and how they breed and how many types of betta fish is and diff between male and female betta fish with image and their life from fry to adult,
A life of a thalassemia patient 1e
A one-year-old child presented with failure to thrive and paleness was diagnosed with thalassemia. The child required regular blood transfusions to treat anemia symptoms from the condition. As the child grew older, she developed complications from iron overload due to the frequent transfusions, including pain in her abdomen. Her parents inquired about stem cell transplantation but a donor could not be found, so she was placed on medication to treat the iron overload and manage the thalassemia long-term through continued hypertransfusion therapy.
Gliadin, Intestinal Permeability, and Celiac Disease: From Innate Immunity to...
presentazione sulla celiachia e le ultime acquisizioni riguardanti la malattia autoimmune più nota e usata come modello date le sue peculiarità.
Bfhi
The goals of the Baby-friendly Hospital Initiative are to transform maternity facilities through implementing the Ten Steps to support breastfeeding and to end the distribution of free breast milk substitutes. The Ten Steps provide a framework for hospitals and maternity wards to support breastfeeding through practices like immediate skin-to-skin contact, rooming-in, teaching breastfeeding techniques, and not providing pacifiers or bottles. The Initiative aims to improve infant nutrition and health outcomes by promoting and protecting breastfeeding.
Git5 malabsorption syndrome
Malabsorption syndrome results in chronic diarrhea, abdominal distention, and failure to thrive due to impaired digestion and absorption of nutrients in the small intestine. It can be caused by disorders that affect digestion, nutrient breakdown, micelle formation, brush border enzyme activity, or nutrient transport. Evaluation involves laboratory tests of nutritional deficiencies, imaging of the gastrointestinal tract, and biopsy of the small intestine to identify the specific cause and guide treatment, which focuses on correcting nutritional deficiencies and treating the underlying disorder.
Probiotic weaning food by monika keshavrao tambakhe
This document discusses probiotics in weaning food. It begins with definitions of weaning and an overview of the importance of weaning food when breast milk is no longer sufficient for nutritional requirements between 4-6 months. It then discusses desirable qualities of weaning foods including being rich in calories, protein, vitamins, and minerals while being easily digestible. The document outlines various techniques for preparing weaning foods commercially or traditionally, including spray drying, roller drying, extrusion cooking, malting, and using banana or popped grains. It provides guidelines for developing processed weaning foods and recommended standards. Finally, it discusses probiotics, defining them, listing common types, and criteria and sources for probiotic bacteria.
Sample
This document discusses the diagnosis and treatment of type 2 diabetes in children. It outlines that type 2 diabetes is increasingly being diagnosed in children due to rising obesity rates. While treatment aims to control blood glucose through lifestyle changes and oral medications like metformin, initial insulin therapy is often needed due to uncertainty in diagnosis or the presence of diabetic ketoacidosis. Ongoing management must also consider special issues for children, such as risks of misdiagnosis and lack of safety data for many oral anti-diabetic drugs in the pediatric population.
Celiac disease most under diagnosed health problem
Dealing with various presentation of celiac disease and the pathogenesis and presentation and diagnosis and treatment
Dermatitis
Dokumen tersebut membahas tentang empat jenis dermatitis pada neonatus, yaitu dermatitis kontak, dermatitis atopik, dermatitis numuralis, dan dermatitis statis. Dermatitis merupakan peradangan pada lapisan atas kulit yang menyebabkan gejala seperti gatal, kemerahan, dan pembengkakan. Faktor penyebab, gejala, diagnosis, dan penatalaksanaan dari keempat jenis dermatitis tersebut dijelaskan secara singkat.
Malnutrition
Malnutrition is a social problem in the Philippines that affects many children. The document discusses the different forms of malnutrition - underweight, wasting, and stunting - and provides data on the prevalence of each from national surveys. While stunting has decreased from 39% to 30% from 1993 to 2013, wasting has remained the same at around 7.9%. The causes of malnutrition are linked to poor nutrition, unhealthy conditions, and nutritional deficiencies. The effects of malnutrition can impair cognitive development in individuals and lead to low economic growth at the societal level. The government has committed to addressing malnutrition through programs that promote infant and young child feeding and the distribution of supplements.
Viewers also liked (20)
Gliadin, Intestinal Permeability, and Celiac Disease: From Innate Immunity to...
Gliadin, Intestinal Permeability, and Celiac Disease: From Innate Immunity to...
Probiotic weaning food by monika keshavrao tambakhe
Probiotic weaning food by monika keshavrao tambakhe
Celiac disease most under diagnosed health problem
Celiac disease most under diagnosed health problem
Similar to Failure to thrive (FTT)
FAILURE TO THRIVE.pptx
Failure to thrive in children is defined as weight consistently below the 3rd to 5th percentile for age and sex. It can be caused by medical conditions (organic) or environmental factors (nonorganic) such as neglect or stimulus deprivation. Treatment aims to restore proper nutrition. Failure to thrive is divided into organic, nonorganic, and mixed types. Organic failure to thrive is due to disorders that interfere with nutrition. Nonorganic is due to insufficient calorie intake. Mixed failure to thrive has both organic and nonorganic causes overlapping. Treatment involves identifying and addressing the underlying causes through nutrition, medical care, and social support.
Failure to thrive
Failure to thrive (FTT) refers to inadequate growth in infants and children. It is defined as weight below the 3rd percentile or a significant decrease from an established growth curve. FTT can be organic, due to medical causes like prematurity or malnutrition, inorganic, due to non-medical causes like neglect or poor parenting, or mixed. Clinical features include low weight and height compared to standards, as well as decreased developmental milestones. Diagnosis involves medical history, physical exam, and tests to identify underlying causes. Management focuses on optimizing nutrition, providing a nurturing environment, parental education, and treating any medical issues contributing to FTT.
Failure to thrive by ulfat aimin
DEFINITION
FTT is defined as attained growth Weight of < 3rd percentile on standard growth chart or Weight for height < 5th percentile on standard growth chart or Weight 20% or more below ideal weight for height. OR
Rate of growth less than 20 g/day from birth to 3 months of age or less than 15 g/day from 3 months to 6 months of age or falloff from previously established growth curve or downward crossing of > 2 major percentiles.
ETIOLOGY
The etiology of FTT has traditionally been divided into organic, inorganic and mixed.
Organic FTT; Is a growth symptom of virtually all serious pediatric physical illnesses, such as gastro esophageal reflux, malabsorption syndrome, cystic fibrosis and congenital heart disease.
Nonorganic FTT; Is a failure of growth without diagnosable organic disease. It is caused by a psychosocial problem between the infant or child and the mother or other primary caregiver.
Mixed FTT; has both organic and nonorganic causes and cannot be described as either alone.
NOTE:-
The standard classification of dividing the causes of FTT as organic and non-organic is probably not very appropriate. Whether the condition is primarily organic or non-organic in origin, all children who fail to thrive suffer the physical and psychological consequences of malnutrition and are at a significant risk for long-term physical and psycho developmental sequelae. Organic diseases are responsible for less than 20% of cases with FTT. The causes of FTT are as;-
1. INADEQUATE CALORIC INTAKE
• Incorrect formula preparation
• Neglect
• Excessive juice consumption
• Poverty
• Behavioral problem affecting eating
• Non-availability of food
• Misperceptions about diet and feeding practices
• Errors in formula reconstitution
• Dysfunctional parent-child interaction, child abuse and neglect
• Behavioral feeding problem
• Mechanical problems with sucking, swallowing and feeding
• Primary neurological diseases
• Chronic systemic disease resulting in anorexia, food refusal and neurological problems
2. INADEQUATE ABSORPTION
• Cystic fibrosis
• Celiac disease
• Vitamin deficiencies
• Hepatic diseases.
3. INCREASED CALORIC REQUIREMENT
• Hyperthyroidism
• Congenital heart disease
• Chronic immunodeficiency
• Chronic respiratory disease
• Neoplasm
• Chronic or recurrent infection
4. EXCESSIVE LOSS OF CALORIES
• Persistent vomiting
• Gastro esophageal reflux disease
• Gastrointestinal obstruction
• Increased intracranial pressure
• Renal losses - renal tubular acidosis
• Diabetes mellitus
• Inborn errors of metabolism
Failure_to_thrive.pdf
Failure to thrive is defined as inadequate weight gain or growth in infants and children. It can be caused by organic/medical factors that impair nutrition, such as malabsorption, or non-organic/psychosocial factors like neglect. Diagnosis involves assessing growth charts, dietary history, physical exam, and lab tests. Treatment focuses on providing adequate nutrition through diet and addressing any underlying medical or psychosocial issues impacting care and growth.
Protein energy malnurition
This document provides information on protein energy malnutrition (PEM), including:
- PEM refers to a range of pathological conditions arising from coincidental lack of proteins and calories, most frequently affecting infants and young children.
- Assessment of nutritional status can be done through dietary, clinical, anthropometric, biochemical, morphological, radiological, and epidemiological evaluations.
- PEM is caused by a combination of inadequate dietary intake and illness/infection, and is a major public health problem in developing countries, contributing to over half of deaths in children under 5 years old.
malnutrition.pptx
MALNUTRITION
Ms.Lydia Felix
Msc Nursing I year
Community Health Nursing
malnutrition dimensions have now reached a situation of alarm with more than 50% suffering from some form of malnutrition or micronutrient deficiency, resulting in suboptimal cognitive and physical development, low productivity and high health costs.
Under nutrition manifests in four broad forms
Wasting
Stunting
Underweight
Micronutrient deficiencies
Obesity
Obesity
Ministry of Rural Development
Applied nutrition programme
Ministry of Social Welfare
ICDS
BNP
SNP
Ministry of health and family welfare
National Nutrtional Anemia Prophylaxis Programme
National Prophylaxis Programme for prevention of blindness due to vitamin A defeciency
National iodine deficiency disorder control programme
Ministry of education
Mid day meals programme
Scenario
MALNUTRITION
Ms.Lydia Felix
Msc Nursing I year
Community Health Nursing
malnutrition dimensions have now reached a situation of alarm with more than 50% suffering from some form of malnutrition or micronutrient deficiency, resulting in suboptimal cognitive and physical development, low productivity and high health costs.
Under nutrition manifests in four broad forms
Wasting
Stunting
Underweight
Micronutrient deficiencies
Obesity
Obesity
Ministry of Rural Development
Applied nutrition programme
Ministry of Social Welfare
ICDS
BNP
SNP
Ministry of health and family welfare
National Nutrtional Anemia Prophylaxis Programme
National Prophylaxis Programme for prevention of blindness due to vitamin A defeciency
National iodine deficiency disorder control programme
Ministry of education
Mid day meals programme
Scenario
PEDIATRIC FEEDING DISORDER
Presentation at GI Rounds of McMaster Children's Hospital on June 24th, 2019.
Pediatric Feeding Disorder: "Impaired oral intake that is not age-appropriate, and is associated with medical, nutritional, feeding skill, and/or psychosocial dysfunction."
Feeding difficulties in young children
This document discusses feeding difficulties in young children. It begins with definitions of feeding versus eating and what is considered a feeding difficulty. Feeding difficulties can include behaviors like picky eating, food fussiness, food refusal, and more. The prevalence of feeding difficulties is estimated to be as high as 20-50% in typical children and 80-90% in children with developmental delays or chronic illness. Feeding difficulties can impact a child's nutrition, growth, development, and family relationships if they are severe and prolonged. The document explores reasons why feeding difficulties may develop, including medical conditions, disrupted parent-child interactions, sensory issues, and more.
feedingdifficultiesinyoungchildrenaugust2020-200828144417.pdf
This document discusses feeding difficulties in young children. It begins with definitions of feeding versus eating and defines what is considered a feeding difficulty. It notes the prevalence of feeding difficulties can be as high as 20-50% in typical children and 80-90% in children with developmental delays or chronic illness. The consequences of feeding difficulties are outlined, including risks of nutritional deficiencies, poor growth, cognitive impairments, and in severe cases, death. A variety of reasons for why feeding difficulties may develop are then explored, including social/emotional, physical/sensory, oral motor, cognitive, and environmental factors.
Nutrition over the life course
This document discusses nutrition over the lifecourse and various topics related to nutrition at different stages of life. It begins with an overview of lifecourse models in nutrition and different dietary assessment methods. It then covers several lifecourse topics in nutrition including breastfeeding, food contaminants, nutrition in children and adolescents, diet and the elderly, diet and cancer, and diet and cardiovascular disease. For each topic, it provides details on recommendations, definitions, causes and consequences, and dietary factors of importance. The document aims to provide a comprehensive overview of nutrition across the entire lifespan.
Malnutritionamongindianchildren 090722080420-phpapp01
This document discusses protein energy malnutrition (PEM) in India, which is a major health problem, particularly affecting young children. It defines PEM and describes the different types, including undernutrition, overnutrition, and specific nutrient deficiencies. The document then examines the incidence and causes of PEM in India, including inadequate food intake and infections exacerbating malnutrition. It outlines the classification of PEM and effects on health, growth, and development. In conclusion, it analyzes the high rates of child malnutrition in India and discusses strategies to reduce it, including nutrition programs, economic development, and cross-sectoral partnerships.
Health problem of Infancy.pptx
Presented By- Satin Gaur Nursing Tutor.
Failure-to-thrive (FTT) is a comman problem of Children from poor socioeconomic group.
Their are 3 type of FTT
1- Organic FTT
2-Inorganic FTT
3- Mixed FTT
Protein energy malnutrition(PEM)
it explains protein energy malnutrition and its effects, types of PEM, spectrum of Marasmus & Kwashiorkar- signs, prevention, lab findings
F.T.T.pptx for medical records paediatric patients
This document defines failure to thrive (FTT) as weight below normal for an infant's age and sex, not including prematurity or genetic factors. It provides typical growth rates for infant weight, length, and head circumference. Potential causes of FTT include inadequate intake, absorption issues, increased metabolic demands, and defective utilization. Causes are classified as inadequate intake, absorption/increased losses, or increased requirements/defective utilization. Evaluation involves growth charts, physical exam, and lab/diagnostic tests to identify underlying issues like malnutrition, gastrointestinal problems, infection, or endocrine/metabolic disorders.
Module 2: Growth Assessment Part 2: Ends of the Spectrum
Service providers who receive high nutrition risk referrals, particularly Registered Dietitians, need to be knowledgeable about general and clinical pediatric nutrition as well as counselling skills for working with families and children.
This is the second of five self-directed training modules available in PowerPoint presentations that have been developed and evaluated to respond to this need
Malnutrition, microcephaly & macrocephly, respiratory system (pneumonia),...
Malnutrition, microcephaly & macrocephly, respiratory system (pneumonia),...VIKRAM SINGH PANIHARIYA
1. Malnutrition
2. Microcephaly & Macrocephaly
3. Respiratory System (Pneumonia)
4. Pancreatitis
5. Cardiovascular System (Congenital Heart Defects)
Eating disorder : Classification and tratment
This document discusses various eating disorders including anorexia nervosa, bulimia nervosa, binge-eating disorder, rumination disorder, pica, and avoidant/restricting food intake disorder. It covers risk factors, diagnostic criteria, medical complications, and treatment approaches for each disorder. Treatment involves multidisciplinary teams including medical, nutritional, and psychological support. Diagnosis involves tools like the Eating Disorder Inventory and prioritizes weight restoration, psychological interventions, and long-term maintenance.
Feeding disorder of infancy or early childhood 1
Feeding disorders of infancy and early childhood involve persistent failure to eat adequately or gain weight over at least one month. They feature maladaptive eating behaviors between caregiver and infant, such as food refusal, selectivity, avoidance or delayed self-feeding. Most cases have onset within the first year and respond well to interventions targeting the caregiver-infant interaction and feeding environment, though about 70% of persistent cases continue into childhood. Differential diagnosis requires ruling out underlying medical conditions, and treatment is individualized but often focuses on optimizing engagement during feeding.
Protein energy malnutrition in children
This document discusses protein-energy malnutrition in children. It begins with an outline of the topics to be covered, including the frequency, etiology, pathogenesis, classification, clinical presentation, laboratory tests, and treatment of protein-energy malnutrition. It then discusses the global burden of malnutrition in children, contributors to childhood mortality, and the etiology and pathogenesis of protein-energy malnutrition in more detail. The document also covers the clinical features, laboratory evaluation, classification, diet and treatment of protein-energy malnutrition in children.
Similar to Failure to thrive (FTT) (20)
feedingdifficultiesinyoungchildrenaugust2020-200828144417.pdf
feedingdifficultiesinyoungchildrenaugust2020-200828144417.pdf
Malnutritionamongindianchildren 090722080420-phpapp01
Malnutritionamongindianchildren 090722080420-phpapp01
F.T.T.pptx for medical records paediatric patients
F.T.T.pptx for medical records paediatric patients
Module 2: Growth Assessment Part 2: Ends of the Spectrum
Module 2: Growth Assessment Part 2: Ends of the Spectrum
Malnutrition, microcephaly & macrocephly, respiratory system (pneumonia),...
Malnutrition, microcephaly & macrocephly, respiratory system (pneumonia),...
More from Maryam AL-Qahtani
Vitiligo
This document discusses the case of a 23-year-old male patient with white patches on his fingers and elbows. After taking the patient's history and conducting a physical exam, vitiligo was diagnosed. Vitiligo is defined as a disorder where white patches appear on the skin when melanin production stops. It has no known cause but may be related to genetic and immune factors. Vitiligo can be non-segmental, affecting large areas symmetrically, or segmental, appearing in one region. Treatments aim to reduce color contrast and include sunscreens, cosmetics, phototherapy, and depigmentation medications.
Breast swelling
This document provides information on breast swelling including:
- Definitions of breast swelling and a short anatomy of the breast.
- Differential diagnoses of breast swelling including physiological causes like puberty, menstruation, pregnancy, breastfeeding, menopause, and contraceptives. Pathological causes include fibroadenoma, fibroadenosis, mastitis, fat necrosis and more.
- Clinical evaluations for breast swelling including history, physical examinations, and investigations like mammograms, ultrasounds, biopsies and blood tests.
- Management of breast swelling depends on the underlying cause and may include observation, medications, surgery, radiation or chemotherapy.
Yellow Baby
This document discusses jaundice in newborns. It provides information on diagnosing and treating neonatal jaundice based on the age of the infant. The differential diagnosis would differ depending on whether the infant was 1, 3, or 10 days old. For a 1 day old, early causes like Rh incompatibility or infections would be considered. For a 3 day old, physiological or breast milk jaundice would be more common. For a 10 day old, causes like biliary atresia or hepatitis would be more likely. Treatment options discussed include phototherapy, exchange transfusions, or intravenous immunoglobulin depending on bilirubin levels and the infant's age and condition.
Pulmonary embolism
Maryam AL-Qahtani presented on pulmonary embolism. The key investigations for a PE patient are a D-dimer test, CT pulmonary angiography, isotope lung scanning, and leg ultrasound. For treatment, anticoagulants like heparin, low molecular weight heparins (LMWH), and warfarin are given as prophylaxis or therapy. The types of heparin are unfractionated heparin and LMWH, which differs in molecular weight, activity against coagulation factors, side effects, and half-life. Physicians consider effectiveness, safety and cost when deciding which type of heparin to use.
The CVP in hypovolemic shock.
The CVP in patient with hypovolemic shock
case :
Mostafa 22years old
Agitated and compleaning of abdominal pain
Airway is patent
Respiratory rate 32 per min.
BP 90/60 mmHg.
Pulse 130 bpm.
Temp 36C.
Abdominal distension.
Cold skin
Nsogastric tube rvealed green liqued
Urinary cathetar revealed dark urine
Hemoglobin is 7.
FAST is postive.
Osgood-Schlatter disease
This document discusses a case of a 13-year-old footballer presenting with pain in both knees. Upon examination, a hard bony protrusion was felt at the tibial tuberosity in both legs. The tibial tuberosity provides attachment for the patellar ligament and is a common site for Osgood-Schlatter disease. This condition occurs in young athletes and involves inflammation of the tibial tuberosity. The diagnosis can be made clinically and confirmed with x-rays. Treatment is typically conservative with RICE therapy, medications, and physical therapy. The patient's symptoms are consistent with Osgood-Schlatter disease and conservative care is indicated.
trauma and bleeding (hemorrhagic shock)
This document discusses the body's compensatory mechanisms in response to hemorrhagic shock. In the early, compensated stage of shock, the body attempts to maintain blood pressure and perfusion through mechanisms like increased sympathetic nervous system stimulation, activation of the renin-angiotensin-aldosterone axis, and baroreceptor reflexes. The patient described has a urinary output of 20ml/hr, which is within the normal range of 30-50ml/hr, indicating the body is still able to adequately perfuse the kidneys. Later stages of decompensated and irreversible shock occur if compensation is insufficient to maintain circulation.
pneumocystis jiroveci pneumonia in HIV
A 30-year-old man presented with a 3-week history of fever and dyspnea on exertion. He was a former smoker and had unprotected sex with multiple partners. On examination, he had a respiratory rate of 36, fast but regular heart rate, and oxygen saturation of 91% on room air. He reported chest pain and difficulty swallowing. Given his symptoms and risk factors, Pneumocystis jiroveci pneumonia was suspected. As an opportunistic infection, it posed an infectious risk to those with compromised immunity. Standard precautions including isolation were recommended until diagnosis was confirmed or ruled out. Treatment would involve 21 days of trimethoprim-sulfamethoxazole with cortic
Atherosclerosis
1) This document discusses risk factors for atherosclerosis and their role in the pathogenesis of the disease. It identifies both controllable factors like hypertension, smoking, obesity, and uncontrollable factors like age, sex, and family history.
2) The pathogenesis of atherosclerosis involves four main stages: chronic endothelial injury, accumulation of lipoproteins in the arteries, resultant inflammation and release of factors, and smooth muscle cell proliferation that narrows arteries.
3) Clinical manifestations of atherosclerosis can include leg pain with exercise, absent pulses, bruits over arteries, dry skin, and coldness in affected limbs. Maintaining a healthy lifestyle can help regulate controllable risk factors.
Malaria
First slide is story about women went to Malawi and get disease (Malaria).
Other slide are information about Malaria
Slide 39 is end of story
Drinking alcohol + respiratory system
A 22-year-old man was brought to the emergency room after blacking out and falling at a coffee shop at 2am. On arrival, he smelled of alcohol and only responded to strong pain. He was wheezing with shallow, slow breathing and his left lung had minimal movement. Tests found low oxygen and high carbon dioxide levels in his blood. Examination revealed several fractured ribs on his left side. The man's condition and symptoms were likely due to alcohol intoxication leading to his fall, resulting in fractured ribs and a punctured lung causing shortness of breath.
More from Maryam AL-Qahtani (11)
Recently uploaded
Ketone bodies and metabolism-biochemistry
This slide consists of all the topics of ketone . This can be used for exam purpose for writing about Diabetic keto acidosis etc . Thank you
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Adhd Medication Shortage Uk - trinexpharmacy.com
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Role of Mukta Pishti in the Management of Hyperthyroidism
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Efficacy of Avartana Sneha in Ayurveda
Avartana Sneha is a unique method of Preparation of Sneha Kalpana in Ayurveda, mainly it is indicated for the Vataja rogas.
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest VersionTop Effective Soaps for Fungal Skin Infections in India
Swisschem Dermacare has mentioned the List of The Best Antifungal Soap In India 2022. All of these soaps are trusted by various Dermatology Experts.
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Recently uploaded (20)
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
Role of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of Hyperthyroidism
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Failure to thrive (FTT)
- 1. B 3.4 PROBLEM SOLVING SESSIONS (PEDIATRICS) My child does not thriveMaryam AL-Qahtani
- 2. Learning objective: What are causes of failure to thrive? Explain the pathogenesis of any two common etiological causes
- 3. Failure to thrive (FTT) is a term used to describe inadequate growth or the inability to maintain growth, usually in early childhood. By definition, include 2%, 5% or 10% of all babies, whether there was a problem or not. Introduction
- 4. • Growth failure is due to an acute or chronic disorder that interferes with nutrient intake, absorption, metabolism, or excretion or that increases energy requirements. Organic FFT • Up to 80% of children with growth failure do not have an apparent organic disorder; growth failure occurs because of environmental neglect (e.g. lack of food), stimulus deprivation, or both. Non- organic FFT What are causes of failure to thrive?
- 5. Causes of organic Failure to thrive Mechanism Disorder Decreased nutrient intake Cleft lip or palate , CNS disorder (eg, cerebral palsy) Gastroesophageal reflux disease Pyloric stenosis Malabsorption Celiac disease & Cystic fibrosis Inflammatory bowel disease Impaired metabolism Chromosomal abnormality (eg, Down syndrome, Turner syndrome) Fructose intolerance , galactosemia Increased excretion Diabetes mellitus , Proteinuria Increased energy requirements Bronchopulmonary dysplasia , Cystic fibrosis Heart failure , Hyperthyroidism , Infection
- 6. Pathophysiology Of Organic Disease Celiac disease
- 7. Pathophysiology Of Organic Disease Celiac disease
- 10. Thank you
Editor's Notes
- Normally, the body's immune system is designed to protect it from foreign invaders. When people with celiac disease eat foods containing gluten, their immune system forms antibodies to gluten which then attack the intestinal lining. This causes inflammation in the intestines and damages the villi, the hair-like structures on the lining of the small intestine. Nutrients from food are normally absorbed by the villi. If the villi are damaged, the person cannot absorb nutrients properly and ends up malnourished, no matter how much he or she eats
- Marked hypertrophy and hyperplasia of the 2 (circular and longitudinal) muscular layers of the pylorus occurs, leading to narrowing of the gastric antrum. The pyloric canal becomes lengthened, and the whole pylorus becomes thickened. The mucosa is usually edematous and thickened. In advanced cases, the stomach becomes markedly dilated in response to near-complete obstruction.