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- W2487434596 abstract "1. Raahul Ramakrishnan, MD*2. Jennifer Fuchs, MD*3. Geeta Singhal, MD* 1. *Baylor College of Medicine, Houston, TX.A 3-year-old African American girl is being evaluated for a history of failure to thrive and concern for neglect. She was born at term and was small for gestational age. Her growth records are unavailable, but growth velocity was reportedly normal until age 2 years. Four months ago, her pediatrician referred her to a gastroenterologist for ongoing poor weight and height gain, but she was not seen due to social barriers. The patient typically eats 3 regular meals and drinks 24 oz of chocolate milk per day. Her mother reports that her daughter has unusual dietary preferences, such as craving coffee and soda. She states that the girl has constipation, but she has no vomiting, diarrhea, abdominal pain, bone pain or fractures, hematuria, or edema. She denies recurrent infections or hospitalizations. Motor and cognitive development are normal. Her tuberculin skin test result was negative 1 year ago. The mother has been previously incarcerated, and in the emergency department, the mother is agitated and her speech is slurred, with some incoherent speech.The patient’s height and weight are below the 5th percentile and head circumference is at the 10th percentile. Her vital signs are normal. The only finding of note on physical examination is frontal bossing with minimal subcutaneous fat. The alert, thin child has normal heart and lung sounds and no organomegaly or signs of trauma. She displays age-appropriate gross motor …" @default.
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- W2487434596 date "2016-08-01" @default.
- W2487434596 modified "2023-09-27" @default.
- W2487434596 title "Case 1: Growth Failure and Abnormal Radiographs in a 3-year-old Girl" @default.
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- W2487434596 doi "https://doi.org/10.1542/pir.2016-0026" @default.
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