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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

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

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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

Page 9: 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

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

Page 11: 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

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

Consanguinity (+)

Family history (-)

IgA

ttg IgA

Endoscopy Duodenal atrophy, scalloping

Biopsy

Page 12: Aydan Kansu, MD Ankara University School of Medicine, Department of Pediatric Gastroenterology and Hepatology, Turkey Field Study by the POINT-OF- CARE

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

Page 13: Aydan Kansu, MD Ankara University School of Medicine, Department of Pediatric Gastroenterology and Hepatology, Turkey Field Study by the POINT-OF- CARE

ProblemsProblems

Sex

Date of birth

ttg

Weight loss ….. kg in ….. months

Weight gain ….. kg in ….. months

Weight pc, height pc

Weight for length

BMI

Page 14: Aydan Kansu, MD Ankara University School of Medicine, Department of Pediatric Gastroenterology and Hepatology, Turkey Field Study by the POINT-OF- CARE

ProblemsProblems

Pallor specify

Abdominal distention specify

Signs of dystrophy specify

Dermatitis specify

Bristol

Concomitant therapy

School screening