Peds

Failure to Thrive Red Flags

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Failure to Thrive Red Flags, Growth Faltering Red Flags

  • See Also
  1. Delayed Growth
  2. Failure to Thrive
  3. Failure to Thrive Causes
  4. Failure to Thrive Evaluation
  5. Failure to Thrive Management
  • Indications
  1. Failure to Thrive Evaluation
  • Red Flags
  1. Cardiac findings (suggesting. Congenital Heart Disease)
    1. Heart Murmur
    2. Extremity edema
    3. Jugular Venous Distention
  2. Developmental Delay
  3. See Dysmorphic features in Congenital Dysorders
  4. Failure to Thrive refractory to adequate caloric replacement
  5. Hepatomegaly or Splenomegaly
  6. Abnormal Lymphadenopathy
  7. Recurrent infections (e.g. recurrent respiratory infections, Recurrent UTI)
  8. Recurrent Vomiting or Diarrhea with Dehydration
  • Interpretation
  1. Positive findings suggest organic cause of Failure to Thrive and warrant diagnostic evaluation
  2. Negative findings (no red flags) are reassuring for non-organic cause and empiric caloric management can be instituted
  • References
  1. Cole (2011) Am Fam Physician 83(7): 829-34 [PubMed]
  2. Ficicioglu (2009) Pediatrics 124(3): 972-9 [PubMed]
  3. Goodwin (2023) Am Fam Physician 107(6): 597-603 [PubMed]