Regarding the posted possible domestic violence post from J Cipolla:
In addition to identifying a possible case of domestic violence, you have probably uncovered the reason for the child's lack of weight gain. Children living in stressful conditions often fail to thrive. If the domestic scene reported is typical for the home environment, then that is the most likely diagnosis. Getting the mom and baby into a calm, safe environment will likely result in rapid growth in the child.
Please communicate my concern that the weight gain problem is associated with the home situation to the mother when you speak with her.
Good work, good pickup.
Linda Shaw MD FAAP
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