Case 3: An eight-month-old boy with failure to thrive

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 3-month-old girl with failure to thrive.

This 3-month-old girl was evaluated for failure to thrive and jaundice. She was the 2,685-gram product of a full-term, uncomplicated pregnancy, labor, and delivery to a 21-year-old gravida 2 para 2 (G2P2) woman. Shortly after birth, it became clear the child had signifi cant failure to thrive and jaundice despite multiple manipulations of formula. She had an extensive evaluation after being fou...

An erythematous rash, diarrhea, failure to thrive, and lymphadenopathy in a 3-month-old girl.

HISTORY OF PRESENT ILLNESS The patient was a 3300 g product of a 37-week gestation. The pregnancy was complicated by pre-eclampsia. The newborn infant was noted to regurgitate much of her feeding. A barium swallow showed pyloric stenosis, pyloromyotomy was performed at 2 weeks of age and the problem resolved. At 3 weeks of age, she developed an erythematous, exfoliative rash that began on the c...

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...

A 5-Week-Old Boy with Failure to Thrive, Marked Hyperkalemia, and Hyponatremia.