Beyond recognizing the medical and nonmedical dimensions that often interact to cause childhood growth faltering and malnutrition, it is important to understand the role of pediatric feeding disorders, to screen for and address social determinants of health, and to understand the multidisciplinary model of treatment.

After completing this article, readers should be able to:

  1. Diagnose growth faltering and childhood malnutrition.

  2. Understand the pathogenesis and differential diagnosis of growth faltering.

  3. Take a complete relevant history starting with the prenatal period that includes parental heights (if appropriate), nutritional and feeding details, developmental progress, and social determinants of health.

  4. Understand the role of diagnostic testing, including first-line laboratory examinations such as complete blood cell count with differential count, iron studies, lead, chemistry panel, and celiac evaluation with immunoglobulin A and tissue transglutaminase antibodies.

  5. Evaluate growth faltering in special populations of children with a...

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