兒科學案例60例(第4版)（簡體書）

The history and physical examination are the most important tools in an FTT evaluation.A dietary history can offer important clues to identify an etiology.The type of milk (breasr or bottle) and frequency and quality of feeding, voiding, vomiting, and stooling should be recorded.The milk used (commercial or homemade formula) and the mixing process (to ensure appropriate dilution) should be reviewed (adding too much water to powdered formula results in inadequate nutrition).The amount and type of juices and solid foods should be noted for older children.Significant food aversions might suggest gastric distress of malabsorption.A 2-week food diary (the parent notes all foods offered and taken by the child) and any associated symptoms of sweating, choking, cyanosis, difficulty sucking, and the like can be useful.
Pregnancy and early neonatal histories may reveal maternalinfection, depression, drug use, intrauterine growth retardation, prematurity, or other chronic neonatal conditions.When children suspected of having FTT are seen in families whose members are genetically small or with a slow growth history (constitutional delay), affected children are usually normal and do not require an exhaustive evaluation.In contrast, a family hiscory of inheritable disease associated with poor growth (cystic fibrosis) should he evaluated more excensively.