Failure to Thrive in a Child—What’s the Cause?

A three-year-old African American boy is brought to his new pediatrician over concerns of poor

Written by: Figure 1

Published on: August 3, 2018

A three-year-old African American boy is brought to his new pediatrician over concerns of poor growth, fatigue, and irritability. On examination, he has a large head and generalized muscular hypotonia. His left wrist demonstrates the findings seen here. What next step is most appropriate?

A. Bone biopsy
B. Genetics referral
C. Nutrition counseling
D. Physiotherapy

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Explore cases, quiz yourself, and solve medical mysteries along with thousands of other medical professionals around the world on Figure 1, the free app where doctors expand their clinical knowledge.
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