Childhood malnutrition, including not growing well/growth faltering *New*
ICD-10 codes: E40 / E41 / E42 / E43 / E44.0 / E44.1 / E45 / E46 In all children, check for malnutrition and anaemia: Plot the weight on the Road to Health chart/booklet. Look at the shape of the weight curve: Is the weight curve rising parallel to the reference lines? OR is it flattening? OR is there weight loss? Look for visible wasting. Look and feel for oedema of both feet. Look for palm
ICD-10 codes: E40/E41/E42/E43/E44.0/E44.1/E45/E46
In all children, check for malnutrition and anaemia:
- Plot the weight on the Road to Health chart/booklet.
- Look at the shape of the weight curve:
- Is the weight curve rising parallel to the reference lines?
OR - is it flattening?
OR - is there weight loss?
- Is the weight curve rising parallel to the reference lines?
- Look for visible wasting.
- Look and feel for oedema of both feet.
- Look for palmar pallor.
- Check Hb if anaemia is suspected.
See Severe acute malnutrition (SAM), Moderate acute malnutrition (MAM) and Not growing well (including failure to thrive/growth faltering).
Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare Level, Updated for the 2023 Edition