No Formula Or Solids in Pediatrics — Case | General Pediatrics | SMLE Q#17499

SMLE Question #17499

Pediatrics General Pediatrics

Objective: OBJ-128

Last updated: February 2026
An 8-month-old boy is brought to a primary care clinic because of poor weight gain. He was born at the 50th percentile for weight and tracked along that curve until 1 month ago; since then, his weight has fallen to the 10th percentile. Length and head circumference remain at the 50th percentile. He is exclusively breastfed with no formula or solids; a feeding log shows 4 feeds/day lasting about 5 minutes each. He has no vomiting, diarrhea, cough, or recurrent infections. Examination shows a well-appearing infant without organomegaly. What is the most appropriate next step in management?

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