A 1-Year-Old Boy Is Brought to the Clinic Due to Poor

question 159

Multiple Choice

A 1-year-old boy is brought to the clinic due to poor weight gain.  The patient's mother is concerned that he is smaller than children of the same age.  He drinks 600 mL (20 oz) of whole milk daily and eats table food such as meats, fruits, and grains 3 times a day.  Since the introduction of solid foods, the child has had an increase in bulky bowel movements, occurring 5-6 times daily.  The patient also has frequent coughing episodes.  He has not had any previous surgeries.  The family lives in a rural area.  Temperature is 37.1 C (98.8 F) , pulse is 120/min, and respirations are 24/min.  Physical examination shows a thin but active child.  The oropharynx is clear, and there is no cervical lymphadenopathy.  Pulmonary examination reveals a wet cough with bilateral rhonchi.  The abdomen is soft with no organomegaly.  Growth chart shows: Which of the following is the most likely cause of this patient's symptoms?

• A)Autoimmunity to gluten
• B)Chronic Giardia infection
• C)Constitutional growth delay
• D)Food protein-induced allergic proctocolitis
• E)Lactose intolerance
• F)Pancreatic insufficiency

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Definitions:

Closet Doors

Doors specifically designed for closets, ranging in design from sliding to bi-fold, used to conceal the contents and keep the area tidy.

Saint Of The Gutters

A nickname given to Mother Teresa, recognizing her charitable work with the poorest of the poor in Kolkata, India.

Logical Order

An arrangement of ideas, facts, or events in a sequence that follows a consistent and recognizable pattern, often enhancing clarity and understanding.

Street Children

Children who live or spend a considerable amount of time on the streets, often without any adult supervision or care, facing various forms of vulnerability.