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Aydan Kansu, MDAnkara University School of Medicine, Department of Pediatric Gastroenterology andHepatology, Turkey
Field Study by the
POINT-OF-CARE tools:
preliminary results
Tokat
Konya
Dr. Ayşe F. GençKONYAKONYA
TOKAT - ERBAATOKAT - ERBAA Dr. Engin Yurdakul
Population: 60.000Population: 60.000
Population: 2.500.000 Population: 2.500.000
Study DesignStudy Design
363 children
273 school screening
3-18 years
Konya: 53 patients
Erbaa: 310 patients
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
POCT + 1 patientPOCT + 1 patient
Hb : 10.1
WBC : 6.000
PLT : 277
AST : 32
ALT : 19
POCT + 1 patientPOCT + 1 patient
History from the father– Birth weight? Feeding pattern? …..
Consanguinity (+)
Family history (-)
IgA
ttg IgA
Endoscopy Duodenal atrophy, scalloping
Biopsy
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
ProblemsProblems
Sex
Date of birth
ttg
Weight loss ….. kg in ….. months
Weight gain ….. kg in ….. months
Weight pc, height pc
Weight for length
BMI
ProblemsProblems
Pallor specify
Abdominal distention specify
Signs of dystrophy specify
Dermatitis specify
Bristol
Concomitant therapy
School screening