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Related Experiment Video

Updated: May 6, 2026

Measuring Cardiac Autonomic Nervous System ANS Activity in Toddlers - Resting and Developmental Challenges

Measuring Cardiac Autonomic Nervous System ANS Activity in Toddlers - Resting and Developmental Challenges

Published on: February 25, 2016

A 15-Month-Old with Faltering Growth.

Jessica Mace¹, Rami Imam¹, Emily Groopman¹

¹from the Pediatric Nephrology Fellowship Program at Children's National Hospital and George Washington University.

|June 25, 2024

Summary

This case report details a 15-month-old child experiencing faltering growth and short stature. It highlights the diagnostic process using clinical examination and testing to identify the underlying cause.

Area of Science:

Pediatrics
Internal Medicine
Clinical Case Reports

Background:

Morning Report is a traditional medical education exercise for discussing patient cases.
This section aims to replicate the Morning Report experience for a wider audience.
It encourages readers to engage in the diagnostic reasoning process.

Observation:

A 15-month-old infant presented with significant faltering growth and short stature.
The case involved a detailed patient history and physical examination.
Diagnostic investigations were systematically employed to evaluate the child's condition.

Findings:

The diagnostic process involved formulating an illness script based on presenting symptoms.
Progressive refinement of the differential diagnosis was guided by clinical progression.

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The report culminates in the identification of the specific diagnosis.

Implications:

This case illustrates the importance of a structured approach to diagnosing pediatric growth disorders.
It emphasizes the value of collaborative learning and diagnostic reasoning in medicine.
Such case reports serve as valuable educational tools for healthcare professionals.