What's that object?
Is my kid too small?
Weird weight loss
Miscellaneous
100
An object is visualized in the upper esophagus. What do you do?
Remove it with endoscopy or laryngoscopy
100
Is this growth considered failure to thrive (pediatric undernutrition)? Why?
Yes, crosses 2 percentile lines
100
What disease are you looking for if you order a sweat chloride test?
Cystic fibrosis
100
What substance that looks like peanut butter can be given to children with malnutrition?
Plumpy Nut!
200
Fish hook
200
You see a 2 year old patient in clinic and their weight is in the 5th percentile. You have no previous weight's on record. Is this failure to thrive?
Not necessarily, definition of FTT is <2nd percentile and needs to be on an accurate graph and based on trends more than one value
200
What physical exam finding is important to listen for in a newborn with FTT?
Heart murmur which could suggest congenital heart disease
200
What country is completely landlocked and surrounded by South Africa?
Lesotho!
300
A fish hook is found in the stomach of a child, what do you do?
Call peds GI for endoscopic removal
300
Name 3 other terms for failure to thrive
pediatric undernutrition, growth faltering, weight faltering, poor weight gain, malnutrition
300
You suspect celiac disease, what additional lab test would you order?
IgA tTG and total IgA
300
True or false. Plumpy nut is also referred to as RUTF (ready to use therapeutic food)?
True
400
When do ingested batteries need to be removed?
If above the duodenal sweep or no progress in 1 week
400
What physical exam finding is not present in mild undernutrition, but can suggest severe malnutrition?
Edema
400
This parasite can be associated with weight loss and FTT
Tapeworm (Tinea solium, Tinea saginatum)
400
What color is Creme Soda in Lesotho?
Green!
500
What is this and what do you do?
Multiple magnets, get them out!
500
Name 5 things that can happen with severe acute malnutrition? (aka why do we hospitalize)
500
True or false: Factitious Food Allergy is a diagnosis associated with failure to thrive
True
500
What animal is this?
The Eland can be found in Lesotho