History: A 26 day-old, Caucasian male with a history of GERD is admitted for failure to thrive. On admission history and physical exam he was noted to have hypertension.
Birth History: On admission, he was a 26 day-old, Caucasian male. Mom was G3 P3 and her pregnancy was complicated by preterm labor at 5 months, with the remainder of the pregnancy being uncomplicated. She was on bed rest for the last month of the pregnancy, but was able to carry the baby to term and had an uncomplicated SVD at 40 weeks. Mom received routine prenatal care throughout the pregnancy including 2 ultrasounds that were normal. She denied any history of smoking, drugs, or medications during her pregnancy. The patient was a full term infant with a birth weight of 7lbs 1 oz. He was discharged from the hospital on day #2 of life at the same weight.
He was 6lbs 9 oz at his one-week check-up and had developed issues with vomiting/GERD. As a result, his formula was changed and he was started on Zantac. However, the vomiting persisted, his continued to lose weight and was noted to tire with feeding- so he was admitted at 26 days-old for evaluation of failure to thrive.
2. Failure to thrive
Surgical Hx: None.
Dad: Childhood murmur that resolved
Maternal Grandfather: HTN diagnosed as an adult
There is no FH of renal disease, dialysis requirement, HTN in childhood, congenital heart disease, or genetic diseases.
The patient has 1 and 3 year-old siblings that are healthy.
- Zantac on admission.
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