Catch-down growth In some children, growth moves to lower pe ercentiles during their first year of life They often start out in high percentiles, but drop to a lower percentile between 6 and 18 months
Catch-down growth In some children, growth moves to lower percentiles during their first year of life They often start out in high percentiles, but drop to a lower percentile between 6 and 18 months
Catch-down growth They will match their genetic programming, then begin to grow along new and lower percentiles To be followed up closely to rule out failure to thrive
Catch-down growth They will match their genetic programming, then begin to grow along new and lower percentiles To be followed up closely to rule out failure to thrive
Failure to thrive(FTD) Describes the malnourished infants and young children who fail to meet the expected standards of growth Most often used for malnutrition elated to environmental or psychosocial causes, though organic causes often coexist
Failure to thrive (FTT) Describes the malnourished infants and young children who fail to meet the expected standards of growth Most often used for malnutrition related to environmental or psychosocial causes, though organic causes often coexist
Failure to thrive(FTD) Diagnosed by Weight that falls or remains below the 3 rd percentile for his age; or Weight that decreases crossing two major percentile lines on growth chart over time; or Weight that is less than 80% of the median weight for the height of the child
Failure to thrive (FTT) Diagnosed by: Weight that falls or remains below the 3rd percentile for his age; or Weight that decreases crossing two major percentile lines on growth chart over time; or Weight that is less than 80% of the median weight for the height of the child
Growth patterns requiring further action Pattern Possible diagnoses Further actions Weight, length and Familial short stature Midparental heights head circumference all Constitutional short stature Evaluation of pubertal development fall below 5ti Intrauterine insult Examination of prenatal records percentile Genetic abnormality Karyotyping and chromosome analysis Discrepant percentiles Normal variant(familial or Midparental heights constitutiona Endocrine growth failure Thyroid hormone(hypothyroidism) Caloric insufficiency Growth factors. gH stimulation test Evaluation of pubertal development Declining percentiles Catch-down growth Complete Hx and p/E Failure to thrive evaluation Modified from Nelson 's essentials of paediatrics
Growth patterns requiring further action Pattern Possible diagnoses Further actions Weight, length and head circumference all fall below 5th percentile Familial short stature Constitutional short stature Intrauterine insult Genetic abnormality Midparental heights Evaluation of pubertal development Examination of prenatal records Karyotyping and chromosome analysis Discrepant percentiles Normal variant (familial or constitutional) Endocrine growth failure Caloric insufficiency Midparental heights Thyroid hormone (hypothyroidism) Growth factors, GH stimulation test Evaluation of pubertal development Declining percentiles Catch-down growth Complete Hx and P/E Failure to thrive evaluation Modified from Nelson’s Essentials of Paediatrics