PAEDIATRICS
FAILURE TO THRIVE
PromptExamination of neonate failing to gain weight
ResponseVital signs ? Shocked - sepsis/congenital heart disease
Weight, length, head circumference - plot on growth chart and compare to birth
Fontanelle - raised ICP (eg: From NAI)
Chest exam - pulmonary oedema/resp dysfunction which would impair feeding
CVS - murmurs/hepatomeegaly/coarctation
Jaundice - ? biliary atresia
Bruising - NAI
Weight, length, head circumference - plot on growth chart and compare to birth
Fontanelle - raised ICP (eg: From NAI)
Chest exam - pulmonary oedema/resp dysfunction which would impair feeding
CVS - murmurs/hepatomeegaly/coarctation
Jaundice - ? biliary atresia
Bruising - NAI
PromptInvestigations in failure to thrive
ResponseECG - tachyarrhythmias
VBG - ? hypoperfusion - ? metabolic
Bilirubin/LFT’s - exclude congenital liver problem
FBC - Anaemia - from congenital haemolytic cause
Septic screen - urine/cxr/LP - Exclude infection
Urine - Metabolic screen
VBG - ? hypoperfusion - ? metabolic
Bilirubin/LFT’s - exclude congenital liver problem
FBC - Anaemia - from congenital haemolytic cause
Septic screen - urine/cxr/LP - Exclude infection
Urine - Metabolic screen