This podcast gives medical students a basic framework about how to understand failure to thrive and helps them develop an approach to the history and physical examination of a child presenting with failure to thrive. A "shotgun" approach to investigations is discouraged. This podcast was written by Dr. Melanie Lewis. Dr. Lewis is a general pediatrician at the Stollery Children’s Hospital in Edmonton. She is also the Year 3 Clerkship Director for Pediatrics at the University of Alberta. These podcasts are designed to give medical students an overview of key topics in pediatrics. The audio versions are accessible on iTunes. You can find more great pediatrics content at www.pedscases.com. Related Content Case: Poor weight gain in a 2 month old male CPS Statement: Toddler who is falling off the growth curve WHO Growth Charts Podcast: Approach to Eating Disorders Podcast: Short Stature