A 9-month-old boy is brought by his mother, who is worried he is too small because her sister's baby of the sa…

Question

A 9-month-old boy is brought by his mother, who is worried he is too small because her sister's baby of the same age is much bigger. He was born at term weighing 3.0 kg. He was exclusively breastfed to six months and now eats pureed meat, vegetables and iron-fortified cereal twice a day as well as breastfeeding. His weight has followed the 10th centile at every visit since six weeks of age; length is on the 25th centile and head circumference on the 50th. He sits unsupported, crawls, babbles, ha…

Accepted Answer

Reassure and re-weigh in one month

Answer

Arrange coeliac serology and a sweat test

Answer

Change to a high-energy infant formula

Answer

Measure electrolytes and a full blood count

Answer

Refer to a paediatric gastroenterologist

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