poor feeding newborn differential diagnosis

On presentation, the patient was pale, dusky, lethargic and with mottled skin. A term infant has hypotonia and bilateral undescended testes ### Prenatal History ### Birth History and Presentation The infant was delivered via vaginal vertex route and required minimal resuscitation. Signs and symptoms of feeding problems include dehydration, failure to thrive and malnutrition. Differentiating Tests. Or Sign In to Email Alerts with your Email Address, DOI: https://doi.org/10.1542/neo.9-12-e602, To check if your institution is supported, please see, An Unexpected Brain Lesion in a 2-month-old Infant, A Large Tortuous Umbilical Cord with Superficial Abdominal Wall Varicose Veins in a Newborn, Mediastinal Air Collection in a Preterm Male, Follow American Academy of Pediatrics on Instagram, Visit American Academy of Pediatrics on Facebook, Follow American Academy of Pediatrics on Twitter, Follow American Academy of Pediatrics on Youtube. We continue to monitor COVID-19 in our area. Common causes include transient tachypnea of the newborn, respiratory distress syndrome, meconium aspiration syndrome, pneumonia, sepsis, pne… Regurgitation is more common after meals, and when the infant is in a recumbent position. Many children between ages 2 and 4 are picky eaters. Vomiting is the final part of a sequence of events coordinated by the emetic center located in the medulla. He was discharged 5 days before his presentation. Several groups of inherited metabolic disorders, most notably the organic acidemias, urea cycle defects, and certain disorders of amino acid metabolism, typically present with acute life-threatening symptoms of an encephalopathy. Deviations from this course, specifically a significant weight loss or a change from the previous pattern of weight gain, can indicate a problem. A child who is feeding poorly will often have other symptoms and signs that, when taken together, define a specific syndrome or condition. Thank you for your interest in spreading the word on American Academy of Pediatrics. How old is the patient (newborn vs toddler vs adolescent)? We do not capture any email address. Infant feeding disorders may include problems with grabbing food, holding liquids and foods in the mouth, sucking, and chewing. Feeding problem of newborn, unspecified. Contact your librarian or administrator if you do not have a username and password. Condition Description: MCAD deficiency is a fatty acid oxidation (FAO) disorder. The term itself can be misleading and often causes distress to parents. Differential Diagnosis. Newborn respiratory distress presents a diagnostic and management challenge. Newborns with respiratory distress commonly exhibit tachypnea with a respiratory rate of more than 60 respirations per minute. Characteristics of the infant and parent contribute to the disorder. The differential for significant weight loss in this infant is broad and includes a genetic or metabolic condition, a malabsorptive process, renal tubular acidosis, thyroid disease, congenital cardiac disease, and inadequate intake. Poor feeding, a lack of interest in feeding or a problem receiving the proper amount of nutrition, is a nonspecific symptom seen in newborn and young infants that can result from many conditions, including infection, metabolic disorders, genetic disorders, structural abnormalities, and neurological disorders. Laboratory studies such as x-rays, gastrointestinal (GI) studies, and blood tests may be ordered. You may be able to gain access using your login credentials for your institution. Short stature may be the normal expression of genetic potential, in which case the growth rate is normal, or it may be the result of a condition that causes growth failure with a lower-than-normal growth rate. Differentiating Signs/Symptoms. You will be redirected to aap.org to login or to create your account. Step 3:Now, gather basic information from the history. The diagnosis of failure to thrive with failed outpatient management, language developmental delay and a complex social situation was made. These symptoms are the Zea-Vera A, Ochoa TJ. Available from: A 6-day old infant was admitted to our hospital with seizures, irritability and poor feeding. Step 1:ABC (Assessment of the Airway, Breathing and Circulation i.e is the patient stable?) Poor feeding is not an indicator of the severity of the disease, but it is an indicator that … Patients with Infant Malnutrition (Failure to Thrive) 12 months Failure to thrive (FTT) is a symptom, not a diagnosis . The birthweight was 2,698 g. Soon after delivery, the infant appeared to be lethargic and hypotonic with no real cry. Treatment of hyperammonemia in the newborn. Progressive muscle weakness can lead to respiratory failure requiring ventilatory support. • Evaluate the newborn (poor feeding, lethargy, tachypnea, alternating hypertonia/ hypotonia, seizures). Temperature 36.3°C (rectal), HR 170, RR 60, BP 62/35, SpO2 70%. 1. He was referred to the … The child was born at 34+1 weeks and spent 2 weeks in the NICU, where he was fed infant ready-made formula by gavage feeding as he gradually increased his suckling. 2013 Feb. 52(2):190-3. . Willink Biochemical Genetics Unit, Royal Manchester Children’s Hospital. Eur Paediatr 2008;36-39. This chapter presents a differential diagnosis of poor feeding in infancy. (See attached list.) Broomfield AA, Walter JH. Understand the need to suspect infant botulism in an infant younger than 6 months of age who has signs and … 3. On assessment she is: Preceding events? Step 2: Think broadly about the differential diagnosis. 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