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Failure to Thrive

Durr-e-Shahwaar Sayed, DO Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Failure to thrive (FTT) is not a diagnosis but a sign of inadequate nutrition in young children manifested by a failure of physical growth, usually affecting weight. In severe cases,...

DIAGNOSIS

HISTORY

  • Successful treatment of FTT almost always is accomplished by a careful and detailed history as most cases are due to underfeeding or inappropriate feeding.

  • Prenatal and developmental h...

TREATMENT

GENERAL MEASURES

  • Treat underlying conditions.

  • Caregiver and infant interaction should be evaluated in infants and children with FTT.

  • Age-appropriate nutritional counseling should be provided (1...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • If specific disease is identified, follow up as indicated.

  • Close, long-term follow-up with frequent visits is important to create and maintain a healthy, supportiv...

REFERENCES

1
1 Cole SZ, Lanham JS. Failure to thrive: an update. Am Fam Physician.  2011;83(7):829–834. {L-End} {L-End} [View Abstract on OvidMedline]
2
2 Krugman SD, Dubowitz H. Failure to thriv...

ADDITIONAL READING

  • Atalay A, McCord M. Characteristics of failure to thrive in a referral population: implications for treatment. Clin Pediatr (Phila).  2012;51(3):219–225. {L-End} {L-End} [Vi...

CODES

ICD10

  • R62.51 Failure to thrive (child)

  • P92.6 Failure to thrive in newborn

ICD9

  • 783.41 Failure to thrive

  • 779.34 Failure to thrive in newborn

SNOMED

  • 54840006 Failure to thrive (disorder)

  • 433476000 failure...

CLINICAL PEARLS

  • FTT is a sign of inadequate nutrition. It is rarely due to a medical condition.

  • Underlying medical and/or social issues are generally suggested by history and physical exam, and extensi...

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