FPN – Failure to Thrive Red Flags

Nov 28, 2019 admin NHI KHOA 0

Failure to Thrive Red Flags

Aka: Failure to Thrive Red Flags

II. Indications

  1. Failure to Thrive Evaluation

III. Red Flags

  1. Cardiac findings (suggesting. Congenital Heart Disease)
    1. Heart Murmur
    2. Extremity edema
    3. Jugular Venous Distention
  2. Developmental Delay
  3. See Dysmorphic features in Congenital Dysorders
  4. Failure to Thrive refractory to adequate caloric replacement
  5. Hepatomegaly or Splenomegaly
  6. Abnormal Lymphadenopathy
  7. Recurrent infections (e.g. recurrent respiratory infections, Recurrent UTI)
  8. Recurrent Vomiting or Diarrhea with dehydration

IV. Interpretation

  1. Positive findings suggest organic cause of Failure to Thrive and warrant diagnostic evaluation
  2. Negative findings (no red flags) are reassuring for non-organic cause and empiric caloric management can be instituted

V. References

  1. Ficicioglu (2009) Pediatrics 124(3): 972-9 [PubMed]
  2. Cole (2011) Am Fam Physician 83(7): 829-34 [PubMed]

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