More thoughts on A-'s slow growth

Pediatrician • update: 4.53 kg (+0.13/2 weeks) • 54cm length, . same as 2 weeks ago 50th percentile for WFL • 3rd percentile for WFA 1st percentile for LFA a few possible causes/scenarios Normally small

• nieces also

off charts⇒ observeGeneticallyrelated

• multiple

birth defects→ karyotypingdevelopment and SNP micro✪ long-termsocializationBase state unlesstests showotherwiselong-termimplications?mental dev→ physical dev→ size→socializationWe'll cross thatbridge whenwe get there2016-05-21aOtherCorrectablefeeding issueCorrectableissues(fore/hindmilk, (thyroid,...)latch, suppties,...)consultantsolids at4 mo?avocado, etc.Try this first;easier fixes→ ask lactationConsultants ifthey rec. engagingdietitian earlieror laterbloodwork,other tests→ dietitian,fortificationlong-termmedication→ dev. impactTry this basedon results