Failure to thrive - Revision history

Ostermayer at 18:14, 16 January 2026

2026-01-16T18:14:48Z

← Revisión anterior		Revisión del 18:14 16 ene 2026
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	{{~~Adult top}} [[~~failure to thrive (peds)]]		{{AdultPage\|failure to thrive (peds)}}
	==Background==		==Background==
	* Usually multi-factorial and seen in patients with chronic illnesses.		* Usually multi-factorial and seen in patients with chronic illnesses.

Rossdonaldson1 at 23:05, 28 November 2019

2019-11-28T23:05:49Z

← Revisión anterior		Revisión del 23:05 28 nov 2019
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	{{Adult top}} [[failure to thrive (peds)]]		{{Adult top}} [[failure to thrive (peds)]]
	==Background==		==Background==
	* Usually ~~multifactorial~~ and seen in patients with chronic illnesses.		* Usually multi-factorial and seen in patients with chronic illnesses.
	* Defined as unintended weight loss >5% from baseline, decreased appetite, poor nutrition, inactivity, and often accompanied by [[dehydration]], [[depression\|depressive symptoms]], and impaired immune function.		* Defined as unintended weight loss >5% from baseline, decreased appetite, poor nutrition, inactivity, and often accompanied by [[dehydration]], [[depression\|depressive symptoms]], and impaired immune function.

Rossdonaldson1 at 23:05, 28 November 2019

2019-11-28T23:05:39Z

← Revisión anterior		Revisión del 23:05 28 nov 2019
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	~~''This page is for adult patients; see~~ [[failure to thrive (peds)]] ~~for pediatric patients.''~~		{{Adult top}} [[failure to thrive (peds)]]
	==Background==		==Background==
	* Usually multifactorial and seen in patients with chronic illnesses.		* Usually multifactorial and seen in patients with chronic illnesses.

ClaireLewis at 00:52, 29 September 2019

2019-09-29T00:52:31Z

← Revisión anterior		Revisión del 00:52 29 sep 2019
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	==Background==		==Background==
	* Usually multifactorial and seen in patients with chronic illnesses.		* Usually multifactorial and seen in patients with chronic illnesses.
	* Defined as unintended weight loss >5% from baseline, decreased appetite, poor nutrition, inactivity, and often accompanied by dehydration, depressive symptoms, and impaired immune function.		* Defined as unintended weight loss >5% from baseline, decreased appetite, poor nutrition, inactivity, and often accompanied by [[dehydration]], [[depression\|depressive symptoms]], and impaired immune function.

	==Clinical Features==		==Clinical Features==
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	==Differential Diagnosis==		==Differential Diagnosis==
	* Chronic or recurrent ~~infections~~		* Chronic or recurrent [[infection]]s
	* Immunodeficiency		* Immunodeficiency
	* Endocrine disorder		* Endocrine disorder
	* Cancer		* Cancer
	* Chronic lung disease		* Chronic lung disease
	* Chronic renal insufficiency		* Chronic [[renal failure\|renal insufficiency]]
	* Heart failure		* [[Heart failure]]
	* Hepatic failure		* [[Hepatic failure]]
	* Chronic wounds		* Chronic wounds
	* Hip or other large bone fracture		* Hip or other large bone [[fracture]]
	* Inflammatory bowel disease		* [[Inflammatory bowel disease]]
	* Malabsorption or malnutrition		* Malabsorption or malnutrition
	* Rheumatologic diseases		* Rheumatologic diseases (e.g. [[RA]], [[SLE]]
	* Stroke		* [[Stroke]]
	* Depression		* [[Depression]]
	* Dementia		* [[Dementia]]
	* Psychosis		* [[Psychosis]]
	* Medication side effects or interactions		* Medication side effects or interactions
	** Anticholinergics, antiepileptics, benzodiazepines, beta blockers, central alpha antagonists, diuretics, steroids, neuroleptics, opioids, SSRIs, and TCAs are common culprits		** [[Anticholinergics]], [[antiepileptics]], [[benzodiazepines]], [[beta blockers]], central [[alpha antagonists]], [[diuretics]], [[steroids]], neuroleptics, [[opioids]], [[SSRIs]], and [[TCAs]] are common culprits

	==Evaluation==		==Evaluation==
	~~===Workup===~~		* History and physical examination are often sufficient to make the diagnosis. Many elderly patients with failure to thrive will be unable to provide an accurate history, so family members or caregivers must be involved.
	*CBC, CMP, UA, [[ECG]], and CXR are usually indicated		** A thorough review of medications is necessary, as polypharmacy may contribute to failure to thrive.
			*CBC, CMP, [[UA]], [[ECG]], and [[CXR]] are usually indicated
	*Consider:		*Consider:
	**[[troponin]], cultures, head CT, ESR, CRP, TSH, HIV, RPR		**[[troponin]], cultures, [[head CT]], ESR, CRP, TSH, HIV, RPR
	**[[Mini Mental Status Exam]] to screen for cognitive decline		**[[Mini Mental Status Exam]] to screen for cognitive decline

	~~===Diagnosis===~~
	* History and physical examination are often sufficient to make the diagnosis. Many elderly patients with failure to thrive will be unable to provide an accurate history, so family members or caregivers must be involved.
	** A thorough review of medications is necessary, as polypharmacy may contribute to failure to thrive.

	==Management==		==Management==
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	*Some patients can be discharged from the ER with PCP follow up.		*Some patients can be discharged from the ER with PCP follow up.
	*Evaluate for ability to care for at home and possible need for placement		*Evaluate for ability to care for at home and possible need for placement
	*If failure to thrive is severe or refractory to treatment, ~~conisder~~ goals of care discussions and a hospice referral		*If failure to thrive is severe or refractory to treatment, consider goals of care discussions and a hospice referral

	==See Also==		==See Also==

Rossdonaldson1 at 05:11, 30 October 2017

2017-10-30T05:11:20Z

← Revisión anterior		Revisión del 05:11 30 oct 2017
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	''This page is for adult patients; see [[failure to thrive (peds)]] for pediatric patients.''		''This page is for adult patients; see [[failure to thrive (peds)]] for pediatric patients.''
	==Background==		==Background==
	* Non-specific term indicating inappropriate weight loss or insufficient weight gain, due to insufficient caloric intake, insufficient caloric absorption, or excessive caloric demand.
	* Usually multifactorial and seen in patients with chronic illnesses.		* Usually multifactorial and seen in patients with chronic illnesses.
	* Patients often have a combination of physical impairment, malnutrition, depression, and cognitive impairments.
	* Defined as unintended weight loss >5% from baseline, decreased appetite, poor nutrition, inactivity, and often accompanied by dehydration, depressive symptoms, and impaired immune function.		* Defined as unintended weight loss >5% from baseline, decreased appetite, poor nutrition, inactivity, and often accompanied by dehydration, depressive symptoms, and impaired immune function.

	==Clinical Features==		==Clinical Features==
			* Non-specific term indicating inappropriate weight loss or insufficient weight gain, due to insufficient caloric intake, insufficient caloric absorption, or excessive caloric demand.
			* Patients often have a combination of physical impairment, malnutrition, depression, and cognitive impairments.

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Disposition */

2017-10-30T05:10:40Z

Disposition

← Revisión anterior		Revisión del 05:10 30 oct 2017
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	==Disposition==		==Disposition==
	*~~Most~~ patients can be discharged from the ER with PCP follow up.		*Some patients can be discharged from the ER with PCP follow up.
	*If failure to thrive is severe or refractory to treatment, goals of care discussions ~~with the patient and their family should be initiated,~~ and a hospice referral ~~may be indicated.~~		*Evaluate for ability to care for at home and possible need for placement
			*If failure to thrive is severe or refractory to treatment, conisder goals of care discussions and a hospice referral

	==See Also==		==See Also==

Rossdonaldson1: /* Workup */

2017-10-30T05:09:06Z

Workup

← Revisión anterior		Revisión del 05:09 30 oct 2017
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	==Evaluation==		==Evaluation==
	===Workup===		===Workup===
	*CBC, CMP, UA, and CXR are usually indicated.		*CBC, CMP, UA, [[ECG]], and CXR are usually indicated
	*Consider		*Consider:
	**cultures, ESR, CRP, TSH, HIV, RPR~~, PPD~~		**[[troponin]], cultures, head CT, ESR, CRP, TSH, HIV, RPR
	**[[Mini Mental Status Exam]] to screen for cognitive decline		**[[Mini Mental Status Exam]] to screen for cognitive decline

Rossdonaldson1: /* =Diagnosis */

2017-10-30T05:07:57Z

=Diagnosis

← Revisión anterior		Revisión del 05:07 30 oct 2017
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	**[[Mini Mental Status Exam]] to screen for cognitive decline		**[[Mini Mental Status Exam]] to screen for cognitive decline

	===Diagnosis==		===Diagnosis===
	* History and physical examination are often sufficient to make the diagnosis. Many elderly patients with failure to thrive will be unable to provide an accurate history, so family members or caregivers must be involved.		* History and physical examination are often sufficient to make the diagnosis. Many elderly patients with failure to thrive will be unable to provide an accurate history, so family members or caregivers must be involved.
	** A thorough review of medications is necessary, as polypharmacy may contribute to failure to thrive.		** A thorough review of medications is necessary, as polypharmacy may contribute to failure to thrive.

Rossdonaldson1: /* Evaluation */

2017-10-30T05:04:34Z

Evaluation

← Revisión anterior		Revisión del 05:04 30 oct 2017
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	==Evaluation==		==Evaluation==
			===Workup===
			*CBC, CMP, UA, and CXR are usually indicated.
			*Consider
			**cultures, ESR, CRP, TSH, HIV, RPR, PPD
			**[[Mini Mental Status Exam]] to screen for cognitive decline

			===Diagnosis==
	* History and physical examination are often sufficient to make the diagnosis. Many elderly patients with failure to thrive will be unable to provide an accurate history, so family members or caregivers must be involved.		* History and physical examination are often sufficient to make the diagnosis. Many elderly patients with failure to thrive will be unable to provide an accurate history, so family members or caregivers must be involved.
	** A thorough review of medications is necessary, as polypharmacy may contribute to failure to thrive.		** A thorough review of medications is necessary, as polypharmacy may contribute to failure to thrive.
	** A Mini Mental Status Exam (MMSE) should be performed to screen for cognitive decline.
	* Limited laboratory and imaging studies are recommended to screen for treatable medical conditions that may contribute to failure to thrive.
	** CBC with cultures, CMP, ESR, CRP, TSH, UA, HIV, RPR, PPD, and CXR are usually indicated.

	==Management==		==Management==

Rossdonaldson1 at 05:01, 30 October 2017

2017-10-30T05:01:27Z

← Revisión anterior		Revisión del 05:01 30 oct 2017
Línea 1:		Línea 1:
			''This page is for adult patients; see [[failure to thrive (peds)]] for pediatric patients.''
	==Background==		==Background==
	* Non-specific term indicating inappropriate weight loss or insufficient weight gain, due to insufficient caloric intake, insufficient caloric absorption, or excessive caloric demand.		* Non-specific term indicating inappropriate weight loss or insufficient weight gain, due to insufficient caloric intake, insufficient caloric absorption, or excessive caloric demand.