TY  - CHAP
M1  - Book, Section
TI  - Failure to Thrive
A1  - Okwu, Vera
A1  - Mahajan, Lori A.
A2  - Usatine, Richard P.
A2  - Sabella, Camille
A2  - Smith, Mindy Ann
A2  - Mayeaux, E.J.
A2  - Chumley, Heidi S.
A2  - Appachi, Elumalai
PY  - 2015
T2  - The Color Atlas of Pediatrics
AB  - A  12-year-old  African  American  boy  with  cerebral  palsy-quadriplegia  was  brought  to  clinic  as  mother  was  having  progressive  difficulty  feeding  him  (Figure  53-1).  He  had  not  been  seen  in  the  office  since  age  9  years  when  he  plotted  at  the  20th  percentile  for  both  weight  and  length  on  the  cerebral  palsy-quadriplegia  growth  chart.  Mother  stated  that  she  was  having  difficulty  obtaining  his  supplemental  1.5cal/cc  supplement  that  had  been  prescribed  and  her  son  was  becoming  progressively  more  selective  regarding  intake  of  solids.  School  officials  also  reported  feeding  difficulty.  On  examination,  he  appeared  emaciated.  Length,  weight,  and  BMI  were  far  below  the  5th  percentile.  Labs  including  a  celiac  antibody  panel,  comprehensive  metabolic  panel,  CBC  with  differential,  sedimentation  rate,  and  thyroid  function  studies  were  normal  with  the  exception  of  mild  lymphopenia  and  a  low  pre-albumin.  Swallow  evaluation  showed  oropharyngeal  dysphagia  characterized  by  residuals  and  delay  in  swallow  onset.  A  trial  of  nasogastric  (NG)  feeds  resulted  in  rapid  weight  gain  with  good  tolerance.  A  gastrostomy  was  subsequently  placed  for  supplemental  feeds.  Close  follow-up  was  scheduled  with  the  nutritional  support  team,  his  physician,  and  social  services.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/18
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=1114872001
ER  -