Health Problems During Infancy

Question 1

Kwashiorkor VS. marasmus

Answer 1

Kawashiorkor:
• edema, big belly, hair bleached blonde

• not enough protein= not enough albumen

Marasmus:
• protein deficiency& malnutrition
• skin & bones, completely lose hair, bald

Question 2

Food allergies

Answer 2

Egg, milk, fish, coconut, sesame, shellfish, peanuts, tree nuts

Most children grow out of milk/egg allergies by 3-4

Question 3

Cow milk

Answer 3

Occurs by 3 months of age. >7% allergic

Excessive crying

Eczema

Diarrhea

Blood in stool. Anyone less than 3 months old with bloody stool= ER

Question 4

Oral allergy syndrome

Answer 4

Localized allergic reaction

• fresh fruit, raw veggies, but spices
• if you cook the food. You denature the proteins and it’s okay to eat.
• mouth becomes red, swollen, and inflamed, itches, burns. They feel like they can’t breathe but they can

Question 5

Feeding issues

Answer 5

To help stop regurgitation, sit them up for 30 min after feeding

Throwing up isn’t bad unless painful, causing sleep loss, vomiting way more than a mouthful

• the sphincter between esophagus and stomach doesn’t develop until 4 months

Question 6

Colic

Answer 6

Crying >3 hrs per day
• could happen from over stimulation during the day
• early evening hours
• resolves by 12 weeks of age
• respond to their crying
• babies do better when swaddled
• if baby is regurgitating a lot, foot ball hold

Question 7

Failure to Thrive (FTT)

Answer 7

Weight <5%

Organic FTT
• due to physical cause
• heart defects, cystic fibrosis, GERD

Non- Organic FTT
• psychological factors
- mom/dad with PP blues, constantly crying during feedings
• parental knowledge
- feed little babies on demand!! No schedules!

Question 8

SIDS

Answer 8

Theory:
Brain stem abnormality

•positive factors:

• back to sleep
• pacifier, fan, cool room all make you breathe

• signs of SIDS
  - diaper wet or solid
  - hands clenched (primitive sign)
  - frothy fluid from mouth/nose
  - bed looks disheveled
  - rolled over on face 
• usually found by mom or babysitter during nap time