Step 1 -Commence CMP free diet

 

adapted from regional guideline

Presenting symptoms:

  1. • Gut

  2. • Skin

  3. • Respiratory

Feeding history:

  1. • Formula fed

  2. • Exclusively breast fed

  3. • Mixed feeding

  4. • Weaned

Could this be CMA?

  1. • Previous  Dx and response to treatment

  2. • Atopic eczema - moderate to severe

  3. • Faltering growth?

  4. • FH of atopy in a 1st degree relative

Anaphylaxis
Severe presentation
“Acute” presentation
“Delayed” presentation

Emergency admission

Urgent referral

Early referral

Primary care management

Start CMP free diet for 2-6 wk

Exclusively breast fed

Formula fed

Mixed feeding

  1. •Start eHF for 2-4 wk

  2. •Refer dietician

  1. •Strict exclusion of CMP for 2-4 wk

  2. •Refer dietician

  3. •Start maternal calcium and Vit D3

  1. •Strict exclusion of CMP for 2-4 wk

  2. •Top up with eHF

  3. •Refer dietician

  4. •Start maternal calcium and Vit D3