Clinical Case Database / Category: Patient Management

Investigating a neonate with failure to thrive

Publication details

Dr Judith Van Der Voort, Dr Munirah Mazlan
Foundation Years Journal, volume 8, issue 8, p.37 (123Doc Education, London, September 2014)

Abstract

A 19 day old baby presented with excessive weight loss after birth, the initial cause of which was unclear. This article will provide a systematic approach to excessive weight loss after birth and faltering growth in infancy. No consensus exists on the definition of faltering growth and it’s duration. Weight gain less than expected for age (26-31 g/day between 0-3 months and 9-18 grams between 3-12 months) is one of the parameters used. History, examination and investigations will be explored to form a differential diagnosis and make a diagnosis.

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Authors

Dr Judith Van Der Voort (Corresponding author)

Consultant Paediatrician
University Hospital of Wales
Heath Park
Cardiff CF14 4XW
judith.vandervoort@wales.nhs.uk

Dr Munirah Mazlan

Paediatric Specialist Trainee Year 1
University Hospital of Wales
Heath Park
Cardiff CF14 4XW

References

1.  Tuohy S, Barnes P, Allen SJ. Failure to thrive. Paediatrics and Child Health 2008, 18(10):464-8.

2.  Children’s Hospital for Wales Local Guidelines (2012) Guideline for the management of faltering growth. 3. Jones SA, Walter JH. Diagnosis and treatment of severe metabolic acidosis. Paediatrics and Child Health 2007, 17(7):260-5.

4.  Herrin JT. Renal tubular acidosis. In: Avner ED, Harmon WE, Niaudet P. Paediatric Nephrology, 5th edn. Philadelphia: Lippincott Willams & Wilkins 2004, 757-76.

5.  Christian MT. Renal tubular disorders. Paediatrics and Child Health 2010, 20(6):266-73. 6. Deho A, Nadel S. Understanding shock. Paediatrics and Child Health 2009, 19(3):99-102.

7.  NICE. Diarrhoea and vomiting causes by gastroenteritis. Diagnosis, assessment and management in children younger than 5 years. Clinical guideline 84. April, 2009.

8.  Davies JH, Shaw NJ. Investigation and Management of Hypercalcaemia in Children. Arch Dis Child 2011, 97:533-8.

9.  Broomfield AA, Brain C, Grunewald S. Galactosaemia: An Update. Paediatrics and Child Health 2011, 21:65-70

Disclaimers

Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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