Approach to poor feeding (newborn and infant) Quiz: Ace Your Exams
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A 4-week-old newborn boy is being evaluated by a pediatrician. The parents report that the infant has become increasingly fussy over the past two weeks and has been refusing to feed. The parents also note frequent regurgitation and back arching during feeds. The infant has not experienced any sustained episodes of increased work of breathing. Latch, suck, and swallow are intact, and the infant is formula-fed. Birth occurred at 37.5 weeks gestation via uncomplicated vaginal delivery. The prenatal course was unremarkable. Vital signs are within normal limits. Weight gain has been suboptimal. Physical examination reveals a well-appearing newborn in no acute distress. No craniofacial anomalies are noted. Cardiopulmonary and abdominal examinations are normal. Which of the following is the most likely diagnosis?
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