Paeds Vivas · clinical-assessment-and-reasoning
Poor feeding in infants and children — branching viva
Branching viva on threat-first neonatal poor feeding, feed observation, cardiac and aspiration mimics, PFD/ARFID framing and tube exit plans.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar. The examiner will move from an acute neonate who has stopped feeding well to a preschooler with severe selectivity, challenging your triage, differential and multidisciplinary plan.
Stem
You are covering acute and clinic paediatrics. The examiner will challenge threat triage, mechanism classification and long-term feeding plans. [5] [1]
References10ShowHide
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- [19]Mills KI, Kim JH, Fogg K, et al. Nutritional Considerations for the Neonate With Congenital Heart Disease. Pediatrics, 2022.PMID 36317972
- [25]Wight NE ABM Clinical Protocol #1: Guidelines for Glucose Monitoring and Treatment of Hypoglycemia in Term and Late Preterm Neonates, Revised 2021. Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine, 2021.PMID 33835840
- [26]Shane AL, Sánchez PJ, Stoll BJ Neonatal sepsis. Lancet (London, England), 2017.PMID 28434651
- [2]Lawlor CM, Choi S Diagnosis and Management of Pediatric Dysphagia: A Review. JAMA otolaryngology-- head & neck surgery, 2020.PMID 31774493
- [14]Estrem HH, Pederson JL, Dodrill P, et al. A US-Based Consensus on Diagnostic Overlap and Distinction for Pediatric Feeding Disorder and Avoidant/Restrictive Food Intake Disorder. The International journal of eating disorders, 2025.PMID 39679744
- [20]Cox N, Hinkle R Infant botulism. American family physician, 2002.PMID 11996423
- [35]Broekaert IJ, Falconer J, Bronsky J, et al. The Use of Jejunal Tube Feeding in Children: A Position Paper by the Gastroenterology and Nutrition Committees of the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition. Journal of pediatric gastroenterology and nutrition, 2019.PMID 31169666
- [7]O'Shea JE, Foster JP, O'Donnell CP, et al. Frenotomy for tongue-tie in newborn infants. The Cochrane database of systematic reviews, 2017.PMID 28284020