I AM A LOOKING TO GO

Failure to thrive in a child—what’s the cause?

Figure 1 Quiz of the Week 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.  Image credit: @Danflanders.   Answer: Nutrition counseling This patient’s clinical presentation is consistent…

Developmental delay and hypocalcemia—what’s the cause?

Figure 1 Quiz of the Week A 9-year-old girl is brought to a new pediatrician by her mother over concerns regarding her weight. She has a history of developmental delay, and her mother mentions that she is noticeably shorter than her peers. She is noted to have a round face and bilaterally shortened fourth metacarpals…