C A S E A 5-month-old Caucasian male presented to the emergency department after his primary care physician referred him for workup of noted failure to thrive (FTT) and severe global developmental delay (DD) that did not respond to hypercaloric formula and physical therapy. The patient was born at 39 weeks’ gestation to a 26-year-old primigravida mother via spontaneous vaginal delivery. The mot...

PURPOSE This study aimed to investigate the validity and reproducibility of a new treadmill protocol in healthy children and adolescents: the Fitkids Treadmill Test (FTT). METHODS Sixty-eight healthy children and adolescents (6-18 yr) were randomly divided into a validity group (14 boys and 20 girls; mean ± SD age, 12.9 ± 3.6 yr) that performed the FTT and Bruce protocol, both with respirator...

A 1-year-old child who emigrated from Africa at 8 months of age was admitted for evaluation of failure to thrive (FTT) and hypotonia. Her birth weight was 3.35 kg (46th percentile), and on hospital admission, she weighed 6.2 kg (0 percentile). Her mother had full prenatal care in Africa and was HIV negative in her third trimester. The child was exclusively breast fed until 6 months when she was...

OBJECTIVE Methylmalonic acidemia is one of the inborn errors of metabolism resulting in the accumulation of acylcarnitine in blood and increased urinary methylmalonic acid excretion. This disorder can have symptoms, such as neurological and gastrointestinal manifestations, lethargy, and anorexia. MATERIALS & METHODS The patients who were diagnosed as methylmalonic acidemia in the Neurology De...

Cystic fibrosis (CF) is an autosomal recessive disease, which affects many organs as it impairs chloride channel. This study was performed to evaluate growth status and its relationship with some laboratory indices such as Cholesterol (chol), Triglyceride (TG), albumin and total protein in children with CF referred to pediatrics center. This study was designed as a cross-sectional study in one ...

What causes it? A child with failure to thrive is not getting enough calories to grow. The most common cause is not eating enough food. Some reasons a child may not be getting enough food include: • Feeding problems, like poor sucking or swallowing • Trouble with breastfeeding • Drinking too much juice, which has a lot of sugar but not enough nutrients needed for proper growth • Trouble switchi...

The Permanente Journal/ Summer 2005/ Volume 9 No. 3 Carol Evans, RNP, MS, MA, has worked for ten years as the geriatric nurse practitioner member of the skilled nursing facility team in the Diablo Service Area in the KP Northern California Region. She also practices on a half-time basis in the Neurology Department at KP Hayward as a Parkinson’s disease specialist. E-mail: [email protected]. ...