Skip to main content
MedVellum
QuestionsVideosPricing

MedVellum

Fellowship exam preparation across every specialty: source-verified topics, questions in every format, and videos.

Product

  • Specialties
  • Questions
  • Videos
  • Exam tools
  • Pricing

Verification & policy

  • Verified register
  • Editorial policy
  • Privacy
  • Terms

Account

  • Sign in
  • Create account
  • Dashboard
  • Account & billing

© 2026 MedVellum. For education only — not a substitute for clinical judgement.

llms.txtPsychiatry LLM catalogSitemap

Paeds Casesclinical-assessment-and-reasoning

Paeds Cases · clinical-assessment-and-reasoning

Failure to thrive and faltering growth: diagnostic approach — OSCE

OSCE counselling and management station for faltering growth.

osce communication and clinical reasoning station1 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCE
On this page
Study tools

Target exams

MRCPCH ClinicalRACP DCE
Prompt
You have 8 minutes with a parent of a 9-month-old whose weight has fallen from the 50th to the 5th centile. A growth chart is provided. Counsel, outline assessment and agree a plan.

Station brief (candidate)

  • Interpret the growth trajectory in plain language.
  • Explain that faltering growth is a pattern needing a cause, not a final label.
  • Take a focused feeding and social history (role-player).
  • Outline examination priorities and when tests are needed.
  • Agree a nutrition support plan, review timing and safety-net.
  • Avoid blame; use teach-back. [1] [2] [6]
Paediatrics Fellowship Pro

Continue reading

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship library.

Sign in to continueSee pricing
References7ShowHide
  1. [1]Homan GJ Failure to Thrive: A Practical Guide Am Fam Physician, 2016.PMID 27548594
  2. [2]Gonzalez-Viana E Faltering growth in children: summary of NICE guidance BMJ, 2017.PMID 28963099
  3. [3]Shields B Weight faltering and failure to thrive in infancy and early childhood BMJ, 2012.PMID 23014901
  4. [4]Boylen S Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review JBI Evid Synth, 2020.PMID 32813387
  5. [5]Burvenich R Effectiveness of safety-netting approaches for acutely ill children: a network meta-analysis Br J Gen Pract, 2025.PMID 39117428
  6. [6]Forkey H Trauma-Informed Care Pediatrics, 2021.PMID 34312292
  7. [7]Katz AL Informed Consent in Decision-Making in Pediatric Practice Pediatrics, 2016.PMID 27456510
Paediatrics Fellowship Pro

$29/ monthor $279 / year

The complete Paediatrics Fellowship library, every exam format, one subscription.

  • Complete library for one chosen specialty
  • Timed MCQ mock exams and spaced review
  • Clinical cases & cross-table vivas
See pricingSign in
PreviousContested discharge and retrieval — structured clinical encounterclinical-assessment-and-reasoningNextFatigue and lethargy in children and adolescents — OSCEclinical-assessment-and-reasoning