PSYCH 2AP3 Lecture Notes - Lecture 14: Sweat Test, Artsakh Defense Army, Convulsion
13 Aug 2020
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Environmental factors are most likely to be the cause here and further investigations are not necessary. Investigations to consider: fbc/ serum ferritin anaemia, wcc infection/ immune deficiency, ue, scid-base, calcium, phosphate renal failure, metabolic disorders, William syndrome: lfts liver disease/ metabolic disorders/ malabsoprtoin, tfts, crp inflammation. Iga and ttg abs coeliac: urine dip/ m+c renal infection/ failure, stool m+c and elastase gastroenteritis, parasites/ worms, pancreatic insufficiency, cxr and sweat test cf, karyotype turner syndrome. Initially start with small quantities of pureed fruit, root vegetables and rice. If weaning before 6 months avoid wheat, eggs and fish: aim for three meals and two snacks a day. Increase energy density of usual foods (e. g. add cheese, margarine and cream: decrease fluid intake particularly squash. Behavioural: have meals at regular times; eaten with other family members, praise when food is eaten, gently encourage to eat but avoid conflict, never force feed. Health visitor: carry out home visits, assess eating behaviour and provide support.
