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Infant Malnutrition (FTT) — History and Physical — Clinical Pathway: Inpatient

Infant Malnutrition/Failure to Thrive (FTT) Clinical Pathway — Inpatient

History and Physical

Complete comprehensive history and physical exam to assess for underlying etiology for malnutrition.

General
  • Overall findings of malnutrition
    • (e.g., cachectic appearance, decreased subcutaneous stores, decreased muscle bulk, relative macrocephaly)
  • Fevers
  • Lack of caregiver bonding or responsiveness to patient
  • Dysmorphic features (e.g., syndromic appearance)
  • Detailed birth history (gestational age, weight)
HEENT
  • Jaundice or scleral icterus
  • Nasal congestion or obstruction
  • Cleft lip or palate
  • Macroglossia
  • Ankyloglossia
  • Micrognathia
Respiratory
  • Stridor or stertor
  • Difficulty breathing
  • Tachypnea
  • Abnormal breath sounds (e.g., wheezing, crackles)
Cardiac
  • Sweating and/or fatigue with feeds
  • Murmurs
  • Diminished or absent peripheral pulses
GI
  • Hepatosplenomegaly
  • Abdominal distension
  • Constipation, palpable stools
  • Vomiting
Skin
  • Skin abnormalities (e.g., rash, diaper area/skin breakdown, severe atopic dermatitis)
Neurologic
  • Depressed mental status, inconsolability and/or sleepiness
  • Developmental delay
  • Abnormal movement
Immunology
  • Frequent infections

 

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