Background: Failure to thrive and malnutrition continues to be a common diagnosis in pediatrics contributing to a significant number of hospital admissions (1-5). There is no national practice guideline or consensus recommendation for diagnosis and treatment for patients hospitalized with failure to thrive, contributing to significant clinical practice variation. Unnecessary variability in practice has been [...]

Background: Adult failure to thrive is a functional decline usually seen in the elderly. The causes of adult failure to thrive are multifactorial. There is some evidence that adult failure to thrive impacts other co-morbid conditions in patients. There is some data to suggest that adult failure to thrive can impact medical costs and increase [...]

Case Presentation: H.C. was admitted to the hospital at 7 weeks of age for failure to thrive. Patient is an ex 37 6/7 weeker, BW was 1.84 kg (0.02%, Z=-3.57), and was induced due to IUGR and oligohydramnios. H.C had an uneventful newborn nursery stay and normal newborn screen. On admission, weight was 2870 g, [...]

Case Presentation: A 21-month-old male with failure to thrive (FTT) presents to the ED with fever and poor oral intake. On exam, he was irritable but consolable, tachycardic with clear lung fields and no murmurs. CBC was within normal limits; electrolytes showed an anion gap metabolic acidosis attributed to dehydration. He was admitted to the [...]

Case Presentation: A 2-year-old female presented to our Gastroenterology service with persistent failure to thrive (FTT). She was born at term and remained in the 10th percentile in weight for the first nine months. She continued to grow in length but did not gain weight. Initial inpatient workup at 13 months revealed a CBC, TSH, [...]

Case Presentation: A 7-week-old male was admitted to a children’s hospital by his pediatrician due to “failure to thrive” (FTT). He was born full-term, passed his critical congenital heart disease (CHD) screening, and had normal newborn screens. He was exclusively breastfed and regained birthweight by 9 days of age. Over the subsequent weeks, his parents [...]

Case Presentation: A 6mo female with GERD presented with poor weight gain. She was born full-term with a normal newborn screen. Family history was non-contributory. Since birth, she had poor weight gain despite medical therapy . She had large-volume spit ups shortly after eating, prompting GI evaluation. She was developmentally delayed, unable to sit without [...]

Background: Growth faltering (or failure to thrive) is a common paediatric problem, found in approximately 3-5% of hospitalized children1,2. Inpatient evaluation of growth faltering generally focuses on identifying the underlying etiology of poor weight gain, but complex genetic conditions can be difficult to identify during a short hospital admission. In a recent study that followed [...]

Case Presentation: A previously healthy 8-month-old infant presented with poor weight gain, edema, and hypotonia. Vital signs were notable for heart rate 126, blood pressure 58/32, respiratory rate 32, and temperature 36.1C. Mucous membranes were dry with capillary refill of 3-4 seconds and edema of all extremities. He had decreased muscle tone, minimal spontaneous movement, [...]

Background: Failure to thrive and malnutrition continues to be a common diagnosis in pediatrics contributing to a significant number of hospital admissions (1-5). There is no national practice guideline or consensus recommendation for diagnosis and treatment for patients hospitalized with failure to thrive, contributing to significant clinical practice variation. Unnecessary variability in practice has been [...]