A 10 months old male child has been brought to the pediatric office for routine follow up. His weight and length are both below 5th percentile. A look at his previous records showed that he was on the 50th percentile when he was 6 months old. Mother stated that she returned to work and is now leaving her son with his grandmother who's giving him 10 oz formula feeds every 4 hours. On examination you noted that the infant is active does not look pale or in distress. Some hair loss noted in the occipital area and impetiginized diaper rash was seen.
What is the best next step?
A- Review with the grand mother how the formula is prepared
B- Admit the child to the pediatric ward and investigate for possible child abuse
C- Order stool and urine samples
D- Increase the child's dietary intake and treat the diaper rash with topical creams.
E- Ask about family history of cystic fibrosis
What is the best next step?
A- Review with the grand mother how the formula is prepared
B- Admit the child to the pediatric ward and investigate for possible child abuse
C- Order stool and urine samples
D- Increase the child's dietary intake and treat the diaper rash with topical creams.
E- Ask about family history of cystic fibrosis