Investigations for weight faltering in children

Following history and physical examination (including neurodevelopmental), the recommended list is FBC, ferritin, U&Es, TSH, coeliac screen and MSU. Check Vitamin D in children at risk of deficiency (dark skin colour, limited diet) and consider CXR/sweat test in children with a history of respiratory infection, and chromosomal analysis in girls to rule out Turner’s syndrome (though by that stage I should think they’d be in secondary care). This list is based on expert opinion, not on hard evidence.

And don’t prescribe high-energy drinks – they don’t help and they may decrease solid food intake.

(BMJ 2012;345:e5931)

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About Dr Sarah

I'm a GP with a husband and two young children.
This entry was posted in BMJ, Credits 2012, Paediatrics. Bookmark the permalink.

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