Presentations

The case:

A five month old exclusively breastfed baby presented to the doctor with a history of 4-5 loose, mucousy and bloodstained stools each day. The baby and his mother were referred to Vicki by the paediatrician who recommended cows milk and soy exclusion for both mother and baby. In her case study Vicki describes what food protein-induced proctitis/proctocolitis is and the clinical presentation, which is the basis for diagnosis. Vicki describes her management of a cow’s milk and soy exclusion diet for both mother and baby. She gives practical suggestions to ensure they both have a nutritionally adequate diet. Vicki incorporates information on infant formulas which are both soy and cows milk free. She steps us through each of the follow up visits at 8 months, 12 months and 18 months. Skilfully describing the nutritional recommendations with acute consideration for the very different nutritional and developmental needs of the child at each review visit.

Watching this presentation and completing the assessment can contribute towards assessable Continuing Professional Development hours

About the Presenter

Vicki is an Advanced APD and the dietitian for the Department of Allergy and Immunology at the Royal Children’s Hospital in Melbourne, where her role involves patient care, teaching, training, resource development and research. Vicki is involved in food allergy training of dietitians, nurses and doctors and is a frequently invited to participate in conferences, training sessions, and resource development in the area of food allergy. She also has a private practice specialising in food allergy at the Melbourne Allergy Centre and Children's Specialists, based in Parkville. She is the past chair of the dietitian subcommittee of the Australasian Society of Clinical Immunology and Allergy (ASCIA). Vicki is involved in food allergy research and has several publications related to food allergy and is completing her PhD with the Centre for Food and Allergy Research based at the Murdoch Children’s Research Institute and the University of Melbourne.  

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• Presentation notes
• Assessment questions and answers
• Suggested further reading

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