Nutrition And Anthropometry Tut: Dr Ghuam Flashcards
Different patterns of growth on chart
Catch-up growth - usually after illness or loss of weight. It can cross a z score upward. A sharp spike
Losing weight is the curve moving downward
Not growing well or gaining weight is the plateau of the curve
Satisfactory weight gain follows the growth curve shape
Describe Abnormal growth pattern and poor weight gain on the growth charts
Abnormal growth pattern will not follow the typical shape of the curve on the RTHC
Poor weight gain will be a straight line horizontally
Incline indicates satisfactory weight gain
Sharp incline is catch-up growth usually after birth or illness
Describe Loss of weight vs failure to regain weight on growth chart
Loss of weight will be a downward decline
Failure to regain weight remains below or on the point of initial declination
Frankfurth plane
Is the imaginary line from the inner eye to outer eye to the external auditory meatus such that the head is in line when taking the height
Crossing a z-score line means
Crossing above usually means satisfactory weight gain after illness or catch-up growth
Crossing below is a sign of concern and maybe due to the child becoming I’ll or having an underlying chronic illness
BMI and MUAC is done at what age
BMI at 5 years and above
MUAC at > 6 months
MUAC values for SAM and MAM
For SAM <11.5cm
For MAM 11.5-12.5
Mild is 12-13
Normal is >13cm
OFC length weight at birth values
OFC birth __
Length ___
Weight 2-3kg
TORCH infections
Congenital intrauterine infections
- toxoplasmosis
-
- rubella
- cmv
- hiv
+ syphilis
Causes microcephaly (8)
Torch infections
Hypothyroidism
Fetal alcohol syndrome
Downs & Turners ??
_
Causes of macrocephaly (5)
Hydrocephalus
TORCH infections
Fetal alcohol syndrome
Hyperthyroidism??
?
Obligate glucose use organs (3)
Brain
RBCS
Renal medulla cells
Classify hydro cephalus and cause of each
Obstructive Vs non- obstructive
- tumors and cysts. Overproduction of csf
