growth and development mean-2sd mean+2sd 2.5% 47.5%
TRANSCRIPT
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Growth Growth and and
DevelopmentDevelopment
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Mean-2SD Mean+2SD
2.5%
47.5%
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Neonatal PeriodNeonatal Period(1(1stst 4 Week of life): 4 Week of life):
Prone: FlexedSupine: FlexedVisual: Doll’s eye,Fixate in line of vision Reflex: Moro,Grasp,Stepping, Placing
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At 4 Week of life:At 4 Week of life:
Prone: ExtendSupine: Tonic neckVisual: Follow Social: Begin to smile
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At 8 Week of life:At 8 Week of life:
Visual: Follow 180 degree Social: Smile to social contact
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At 12 Week of life:At 12 Week of life:
Prone: Lifts head and chestSitting: Early head controlSocial: Says aah,ngah
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At 16 Week of life:At 16 Week of life:
Supine: Symmetric ,Grasp object , Bring to mouth
Sitting: No head lag Social: Laughs out loud
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At 28 Week of life:At 28 Week of life:
Prone: Roles over , CrawlSitting: With support , TransferStanding: Support most of weight Language: Polysyllabic vowel Social: Prefer mother
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At 40 Week of life:At 40 Week of life:
Prone: CrawlSitting: Sits up aloneStanding: Walks holding on furniture Social: Response to sound of name
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At 52 Week of life:At 52 Week of life:
Walk: Take several steps
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At 15 months of life:At 15 months of life:
Walk: aloneCrawl: UpstairsPlay: 3 cubes
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At 18 months of life:At 18 months of life:
Walk: UpstairsLanguage: 10 words,1-2 part of bodyPlay: 4 cubes
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At 24 months of life:At 24 months of life:
Walk: Runs well,downstairs, JumpsLanguage: 3 words togetherPlay: 7 cubesHandle spoon well , Listen to story
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At 30 months of life:At 30 months of life:
Refers IFull name
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At 36 months of life:At 36 months of life:
Ride tricycleStand on one footCopy circleWash handsAge and sex
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At 48 months of life:At 48 months of life:
Copy cross and squareTell a storyPlay with childrenGo to toilet alone
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At 60 months of life:At 60 months of life:
Draw triangleNames 4 colorsCount ten coinsDressing
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Failure to Failure to ThriveThrive
(FTT)(FTT)
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Failure to thrive(FTT):Failure to thrive(FTT):
Weight< 3%Drop of weight percentileWeight/Height < 5%Weight < 80% Median for Height
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Kwashiorkor:Kwashiorkor:
Inadequate protein dietPitting edemaComplication of critical illnessWeight 60-80% for age Skin sign
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Marasmus:Marasmus:The most common form of PEMSevere caloric depletionSecondary to diseasesWeight below 60% for ageInappropriate weaning
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In most children with In most children with FTT, both FTT, both organicorganic and and inorganicinorganic risk risk factors are present.factors are present.
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Early Infancy:Early Infancy: Feeding difficulties: 1)Lactation failure2)Inadequate feedings3)Formula mixing error4)Inadequate calories
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Diagnosis:Diagnosis:History and Observation
Tests:1)CBC,ESR,U/A,Serum electrolytes2) S/E, S/C, Ph , Reducing substances,
Guiac test
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Treatment:Treatment:HospitalizationAmbulatory
120 Kcal/24h X med weight/HeightVitamins & Minerals
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RecoveryRecovery::
Positive mood changesWeight gain
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Prognosis:Prognosis:Non organic FTT in first 2 yearAt 3-11 years:
Retardation(15-67%)
Learning Problems (37-67%)
Behavioral disturbances (28-48%)
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Obesity:Obesity:
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BMI:BMI:
Weight(Kg)/ Height2 (m)
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Obesity Definition:Obesity Definition:
Overweight:Weight> 85th Percentile
BMI > 25
BMI > 85th percentile
Obesity: BMI > 30
BMI > 95th percentile
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Obesity in adulthoodFamily historyTV watchingDietary intake
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Treatment:Treatment:30% decrease in calories intakeStarting 1000-1500 Kcal/dayVery low calorie diet or protein
modified fastPharmacotherapySurgical therapy
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