| Specialty |
Indications for Inpatient Consultation |
Clinical Nutrition
Inpatient Dietitian |
Any patient on this pathway
|
| Lactation |
All mothers who are or would like to breastfeed or pump
|
| Social Work |
- Psycho/social barriers to adequate nutrition
- e.g., concerns for neglect, food insecurity, housing difficulties, caregiver limitations
|
| Speech |
|
| Case Management |
- Any specialized formula that needs to be ordered through DME
- Coordination of equipment for patients with NG or G-tube feeds
|
| Gastroenterology |
- Uncontrolled reflux or persistent vomiting
- Chronic diarrhea or severe constipation
- Symptoms of malabsorption
- Symptoms of IBD, celiac disease, pancreatic insufficiency, protein losing enteropathy, short gut/intestinal failure, motility or liver disorders
- Possible need for, or already on, parenteral nutrition
- Consideration for gastrostomy tube placement
- Vitamin deficiencies
|
| Specialty |
Indications for Inpatient Consultation |
| Endocrine |
- Short stature with normal or high weight for length
- IUGR/SGA with persistent short stature
- Finding associated with growth hormone deficiency: Mid-line defects, microphallus, CNS malformations
- Hypoglycemia
|
| Genetics |
- Unexplained intra-uterine growth restriction (IUGR)
- Hemihypertrophy or asymmetry or limbs, body, or face
- Length affected more than weight
- Hypocalcemia
|
| Metabolism |
- Hepatosplenomegaly or liver dysfunction
- History of unexplained episodes of “crisis” or sepsis-like episodes
- Neurologic comorbidities (developmental delay, seizures, hypotonia)
- Hearing loss or visual impairment
- Unexplained pancytopenia
|
| Neurology |
- Abnormal tone
- Seizure disorder
- Developmental delay
|
| Nephrology |
- Renal tubular acidosis (RTA)
|