Aydan Kansu, MD Ankara University School of Medicine, Department of Pediatric Gastroenterology and...

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Aydan Kansu, MD Ankara University School of Medicine, Department of Pediatric Gastroenterology and Hepatology, Turkey Field Study by the POINT- OF-CARE tools: preliminar y results

Transcript of Aydan Kansu, MD Ankara University School of Medicine, Department of Pediatric Gastroenterology and...

Page 1: Aydan Kansu, MD Ankara University School of Medicine, Department of Pediatric Gastroenterology and Hepatology, Turkey Field Study by the POINT-OF- CARE.

Aydan Kansu, MDAnkara University School of Medicine, Department of Pediatric Gastroenterology andHepatology, Turkey

Field Study by the

POINT-OF-CARE tools:

preliminary results

Page 2: Aydan Kansu, MD Ankara University School of Medicine, Department of Pediatric Gastroenterology and Hepatology, Turkey Field Study by the POINT-OF- CARE.

Tokat

Konya

Page 3: Aydan Kansu, MD Ankara University School of Medicine, Department of Pediatric Gastroenterology and Hepatology, Turkey Field Study by the POINT-OF- CARE.

Dr. Ayşe F. GençKONYAKONYA

TOKAT - ERBAATOKAT - ERBAA Dr. Engin Yurdakul

Population: 60.000Population: 60.000

Population: 2.500.000 Population: 2.500.000

Page 4: Aydan Kansu, MD Ankara University School of Medicine, Department of Pediatric Gastroenterology and Hepatology, Turkey Field Study by the POINT-OF- CARE.

Study DesignStudy Design

Page 5: Aydan Kansu, MD Ankara University School of Medicine, Department of Pediatric Gastroenterology and Hepatology, Turkey Field Study by the POINT-OF- CARE.
Page 6: Aydan Kansu, MD Ankara University School of Medicine, Department of Pediatric Gastroenterology and Hepatology, Turkey Field Study by the POINT-OF- CARE.
Page 7: Aydan Kansu, MD Ankara University School of Medicine, Department of Pediatric Gastroenterology and Hepatology, Turkey Field Study by the POINT-OF- CARE.
Page 8: Aydan Kansu, MD Ankara University School of Medicine, Department of Pediatric Gastroenterology and Hepatology, Turkey Field Study by the POINT-OF- CARE.

363 children

273 school screening

3-18 years

Konya: 53 patients

Erbaa: 310 patients

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POCT + 1 patientPOCT + 1 patient

7 years, female

Mild FTT

Mild failure to gain weight

Fatigue

Weight : 20.3 kg (25%)

Height : 117 cm (25%)

BMI : 16

Bristol : 5

Page 10: Aydan Kansu, MD Ankara University School of Medicine, Department of Pediatric Gastroenterology and Hepatology, Turkey Field Study by the POINT-OF- CARE.

POCT + 1 patientPOCT + 1 patient

Hb : 10.1

WBC : 6.000

PLT : 277

AST : 32

ALT : 19

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POCT + 1 patientPOCT + 1 patient

History from the father– Birth weight? Feeding pattern? …..

Consanguinity (+)

Family history (-)

IgA

ttg IgA

Endoscopy Duodenal atrophy, scalloping

Biopsy

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Doubtful POCT - 2 patientsDoubtful POCT - 2 patients

1. 9 years, male– Weight: 25-50%

– Height: 50%

– Bristol: 4

2. 11 years, male– Weight: 50%

– Height: 50%

– Pallor: Yes

– Bristol: 4

– Hb: 14.8

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ProblemsProblems

Sex

Date of birth

ttg

Weight loss ….. kg in ….. months

Weight gain ….. kg in ….. months

Weight pc, height pc

Weight for length

BMI

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ProblemsProblems

Pallor specify

Abdominal distention specify

Signs of dystrophy specify

Dermatitis specify

Bristol

Concomitant therapy

School screening