Failure to thrive case study one: Difference between revisions
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==Overview== | ==Overview== | ||
A 3 month old child with a normal birth history presented with failure to thrive, poor feeding and abdominal distension. Using an ultrasound and subsequent gastrointestinal study, the patient was eventually diagnosed with congenital short bowel syndrome, a common cause of failure to thrive. <ref name="pmid31589836">{{cite journal| author=Ma Y, Jiang Q, Wang Z| title=Clues From Ultrasound for an Infant With Failure to Thrive. | journal=Gastroenterology | year= 2019 | volume= 157 | issue= 5 | pages= e12-e13 | pmid=31589836 | doi=10.1053/j.gastro.2019.06.015 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31589836 }} </ref> | A 3 month old child with a normal birth history presented with [[failure to thrive]], poor feeding and [[abdominal distension]]. Using an [[ultrasound]] and subsequent [[gastrointestinal]] study, the patient was eventually diagnosed with [[congenital short bowel syndrome]], a common cause of [[failure to thrive]]. <ref name="pmid31589836">{{cite journal| author=Ma Y, Jiang Q, Wang Z| title=Clues From Ultrasound for an Infant With Failure to Thrive. | journal=Gastroenterology | year= 2019 | volume= 157 | issue= 5 | pages= e12-e13 | pmid=31589836 | doi=10.1053/j.gastro.2019.06.015 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31589836 }} </ref> | ||
=Patient History= | =Patient History= | ||
*A 3 month old girl presented with failure to thrive and abdominal distension. | *A 3 month old girl presented with [[failure to thrive]] and [[abdominal distension]]. | ||
*Despite a normal pregnancy and birth history, the child appeared severely malnourished (less than 1st percentile for weight and less than 10th percentile for height). | *Despite a normal pregnancy and birth history, the child appeared severely [[malnourished]] (less than 1st percentile for weight and less than 10th percentile for height). | ||
==Diagnosis== | ==Diagnosis== | ||
*On examination, the abdomen was soft and mildly distended with visible gut loops. | *On examination, the [[abdomen]] was soft and mildly [[distended]] with visible [[gut loops]]. | ||
*An ultrasound revealed a duodenum-jejunal junction which was lower than it’s normal position. | *An [[ultrasound]] revealed a [[duodenum-jejunal]] junction which was lower than it’s normal position. | ||
*By moving the transducer along the course of the dilated loop (thereby, tracing the intestine from the duodenum to the colon) a dramatically short small intestine was revealed. | *By moving the [[transducer]] along the course of the [[dilated loop]] (thereby, tracing the [[intestine]] from the [[duodenum]] to the [[colon]]) a dramatically short [[small intestine]] was revealed. | ||
*Eventually a gastrointestinal study revealed a distended abdomen and intestine, malrotation and a short length of dilated small bowel. | *Eventually a [[gastrointestinal]] study revealed a [[distended abdomen]] and [[intestine]], [[malrotation]] and a short length of [[dilated]] [[small bowel]]. | ||
*The patient was diagnosed with congenital short gut syndrome, a common cause of failure to thrive. | *The patient was diagnosed with [[congenital short gut syndrome]], a common cause of [[failure to thrive]]. | ||
==Significance== | ==Significance== | ||
*The study underlined the utility of an ultrasound in diagnosing failure to thrive. | *The study underlined the utility of an [[ultrasound]] in diagnosing [[failure to thrive]]. | ||
*By catching it early, early treatment, prevention of complications and genetic counselling was facilitated. | *By catching it early, early treatment, prevention of complications and [[genetic]] counselling was facilitated. | ||
==References== | |||
Latest revision as of 17:57, 15 September 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akash Daswaney, M.B.B.S[2]
Overview
A 3 month old child with a normal birth history presented with failure to thrive, poor feeding and abdominal distension. Using an ultrasound and subsequent gastrointestinal study, the patient was eventually diagnosed with congenital short bowel syndrome, a common cause of failure to thrive. [1]
Patient History
- A 3 month old girl presented with failure to thrive and abdominal distension.
- Despite a normal pregnancy and birth history, the child appeared severely malnourished (less than 1st percentile for weight and less than 10th percentile for height).
Diagnosis
- On examination, the abdomen was soft and mildly distended with visible gut loops.
- An ultrasound revealed a duodenum-jejunal junction which was lower than it’s normal position.
- By moving the transducer along the course of the dilated loop (thereby, tracing the intestine from the duodenum to the colon) a dramatically short small intestine was revealed.
- Eventually a gastrointestinal study revealed a distended abdomen and intestine, malrotation and a short length of dilated small bowel.
- The patient was diagnosed with congenital short gut syndrome, a common cause of failure to thrive.
Significance
- The study underlined the utility of an ultrasound in diagnosing failure to thrive.
- By catching it early, early treatment, prevention of complications and genetic counselling was facilitated.
References
- ↑ Ma Y, Jiang Q, Wang Z (2019). "Clues From Ultrasound for an Infant With Failure to Thrive". Gastroenterology. 157 (5): e12–e13. doi:10.1053/j.gastro.2019.06.015. PMID 31589836.