This 2 1/2 yes old weighing 7kg with recurrent episodes of diarrhoea and abdominal distension.height/length is 79cm. .. ...suggested work up please?
As child has failure to thrive and recurrent diarrhea with abdominal distension. So rule out 1.Celiac disease 2.Hypothyroidism - although in it constipation is more common but still thyroid disorders should be ruled in a child with FTT child. 3.HIV 4.Any acynotic congenital heart Disease. Rickets can be alone also or can be present with any malabsorption syndrome.
there is failure to thrive c e/0 rickets clinically. Rickets in malnourished child c recurrent GI infn,needs evaluation for renal rickets.abg,Sr cal,posporus,electrolyte s,Sr alk.phosphatase,montoux test.
PEM , marasmic appearance, malabsorption syndrome can be a cause , chronic worm infestation, HIV should be ruled out , primary immunodeficiency syndrome can also be kept in mind, renal rickets. work up : stool routine, HiV , USG abd, CXR, LFT , RFT
As all of you have opined we treated this as SAM as per WHO protocol.treated for sepsis...corrected metabolic disbands like hypokalemia. ..tTGA values are 47.5units (ref.values are.... <20 negative. ....20 to 30...mild elevations....>30 very strong positive....now the child us out on gluten free diet....let's wait for next due visit and hope for improvement with good improved photograph of the child. ..Thank you all for your active participation. ...A wonderful group indeed...
So its celiac disease....niw there will be good growth on gluten free diet Kindly take care of nutrition
case of pem, marasmic kwashiorkar as faliure to thrive,abdominal distention,frontal bossing n protuberent Costco condral juction in pic so possb of tickets also .Do workup electrolytes,s.ca,cbc,stool exam,
baby having frontal bossing with PEM like condition
dietexplain according to chronic diarrhoea,
PEM and all associated mineral vitamin deficiencies
Cases that would interest you
- Login to View the image
a 5 year old female child. oedema pedal, hand,face. can not speak, walk,sitting. anorexia. mild yellow eyes.
Dr. Naran Santoki12 Likes41 Answers - Login to View the image
5yr old, came with Abd distension and occasional constipation... Spot the dx...
Dr. Manish Verma5 Likes29 Answers - Login to View the image
6 yrs old male child presented with bilateral cervical lymphadenopathy more on left side in posterior triangle. Child's parents complain is that he is not putting on weight. All other vitals are normal.Hb 12.5 , WBC 8500, ESR 40 ,Mantaux Negative. O/E Resp.system NAD What is the interpretation of the CXR.? How to work out this case..?
Dr. Girish Dahake4 Likes24 Answers - Login to View the image
15 yr male pt suffering from swelling over face n leg...n pitting type of edema present plz Tel me diagnosis n treatment
Dr. Bhaskar Pawar61 Likes290 Answers - Login to View the image
A 1 month old mal child c/o- weight loss Birth wight 3.1kg (23-06-18) Today weight 1.3kg (23-07-18) - Dignosis and treatment
Dr. Ronak Rashiya0 Like24 Answers
2 Likes