Endocrinology Book

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Failure to Thrive

Aka: Failure to Thrive, FTT
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  1. See Also
    1. Delayed Growth
    2. Failure to Thrive Causes
    3. Failure to Thrive Diagnosis
    4. Failure to Thrive Red Flags
    5. Failure to Thrive Evaluation
    6. Failure to Thrive Management
  2. Definition
    1. Malnutrition due to inadequate caloric intake or absorption or excessive caloric expendature
  3. Epidemiology
    1. Incidence
      1. Hospitalized children <2 years: 1-5%
      2. Families with Medical, Psychosocial problems: 10%
  4. Causes
    1. Failure to Thrive Causes
  5. Signs: Associated Findings
    1. Length and Head Circumference affected in severe cases
  6. Diagnosis: Failure to Thrive
    1. See Failure to Thrive Diagnosis
  7. Evaluation
    1. See Failure to Thrive Evaluation
    2. See Growth Assessment
  8. Management
    1. See Failure to Thrive Management
  9. Prognosis
    1. Nonorganic Failure to Thrive risks poor outcomes
      1. Risk of cognitive delay and school difficulty
        1. Lower Wechsler Intelligence Scale for Children
        2. Poorer language development and reading skills
      2. Social immaturity
        1. More frequent behavior problems
    2. References
      1. Oates (1985) Pediatrics 75:36
  10. References
    1. Cole (2011) Am fam Physician 83(7): 829-34
    2. Gahagen (2006) Pediatr Rev 27(1): e1-11
    3. Shah (2002) J Clin Gastroenterol 35(5):371-4

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