University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository




Mark Archambault, DHSc, PA-C, DFAAPA



Pediatric growth faltering, also known as failure to thrive and pediatric malnutrition, is a common clinical finding in primary care.1,2 Most cases are caused by inadequate caloric intake, not organic disease states.3 Evaluation requires clinicians to obtain detailed nutritional, medical, psychosocial, and family histories, take accurate anthropometric measurements, and perform a careful physical examination.4 The findings should be analyzed to determine whether a targeted diagnostic workup, specialty referral, or a trial of nutritional counseling is indicated.5 Management includes caregiver education about childhood nutrition and feeding concerns and frequent monitoring of growth parameters. A multidisciplinary approach, including nutritionists, developmental therapists, and others, is desirable. This clinical review may be useful for clinicians in outpatient settings who identify, evaluate, or manage pediatric growth faltering.


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