The Cribsiders S3 Ep39: 39. Failure to Thrive: Growing into Focused Management
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Nov 24, 2021 AI Snips
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Order Of Growth Faltering Gives Diagnostic Clues
- Growth faltering usually affects weight first, then length, then head circumference; deviations from that order are red flags.
- Preservation of height makes endocrine causes less likely; lack of head-sparing raises concern for systemic/genetic disease.
Use Three Buckets For The Differential
- Use a three-bucket framework for the differential: not enough in, too much out, or burning too much.
- Start with history and exam since over 90% of cases are due to insufficient intake.
Ask Feeding History In Multiple Ways
- Take a detailed feeding history: formula mixing, ounces per feed, feed duration, interval between feeds, and total daily intake.
- Ask the same facts several ways to overcome caregiver recall or misunderstanding.