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Failure to Thrive, Emergency Medicine

Roger M. Barkin Reviewed 06/2017
 


Basics

Description

  • Not a single disease, but a description of a group of symptoms

  • Inadequate physical growth:

    • Usually diagnosed earlier than age 2 yr

  • Broadly divided into:

    • Organic (underlying medical condi...

Diagnosis

Signs and Symptoms

  • No universally accepted definition

  • Failure to achieve or maintain a growth rate appropriate for age

  • Weight less than 2 standard deviations below normal for age (corrected for...

Treatment

Initial Stabilization/Therapy

  • Check for hypoglycemia

  • Fluid resuscitation when dehydrated

  • Supportive/nonjudgmental environment

Ed Treatment/Procedures

  • Recognize/identify child with FTT

  • Rule out org...

Follow-Up

Disposition

Admission Criteria

  • Organic cause requiring medical admission

  • Nonorganic causes to observe caregiver–child interaction

  • Nonorganic causes to observe weight while monitoring oral intake...

Additional Reading

  • Bithoney  WG, Dubowitz  H, Egan  H. Failure to thrive/growth deficiency. Pediatr Rev.  1992;13(12):453–460.

  • Block  RW, Krebs  NF, American Academy of Pediatrics Committee on Chi...

Codes

ICD9

  • 779.34 Failure to thrive in newborn

  • 783.41 Failure to thrive

ICD10

  • P92.6 Failure to thrive in newborn

  • R62.51 Failure to thrive (child)

SNOMED

  • 54840006 Failure to thrive (disorder)

  • 433476000 failure...

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