An 18-month-old boy with growth failure and gross motor skill regression

An 18-Month-Old Boy with Decreasing Height Velocity.

An 18-month-old boy presented to our clinic for a routine well visit. His mother was concerned that, although he was cruising at age 12 months, he was still not walking or talking. He was born at 39 weeks and 5 days via cesarean delivery secondary to breech presentation. His APGAR (Appearance, Pulse, Grimace, Activity, Respiration) scores were 9 and 9 at 1 and 5 minutes, respectively. Antenatal...

Typhoid sigmoid colon perforation in an 18-month-old boy.

BACKGROUND Typhoid fever is a severe infective disease endemic in the areas where sanitation is poor. Its serious complication is bowel perforation with terminal ileum as the commonest perforation site. We report a case of an extremely unusual site of perforation in sigmoid colon due to typhoid fever. METHODS An 18-month-old boy presented with no passage of flatus and feces along with guardin...

An 18-Month-Old Boy with Diarrhea and an Elevated Biochemical Parameter.

A 7-month-old boy with failure to thrive.

This 7-month-old boy was evaluated for failure to gain weight. He was the 7-lb., 7-oz. product of a full-term pregnancy to a 31-year-old gravida 2 para 2 woman. It was a precipitous vaginal delivery, but there were no perinatal problems. His mother initially nursed him every 3 hours for 20 minutes on each breast. Recently, he had been feeding once during the night. He had three normal bowel mov...

A 12-Month-Old Boy with Failure to Gain Weight.

A 12-month-old boy was transferred for evaluation of failure to gain weight. He was growing and developing appropriately and meeting his milestones up until age 8 months, at which point he had significant drop-off in his weight, resulting in three hospitalizations elsewhere. He drank a cow’s milk-based formula during his first 6 months. He started receiving a variety of solid foods at age 6 mon...