Susan was admitted to the hospital at

Susan was admitted to the hospital at age 6 months for evaluation of failure to gain weight. She had been born into an impoverished family after an unplanned, uncomplicated pregnancy. During her first 4 months of life, she gained weight steadily. Beginning in her fifth month, she was noted to regurgitate milk after feedings. She would then vigorously suck her thumb and other fingers, and milk would continue to be regurgitated into her mouth. Her weight leveled off and then began to decrease during the time. In the 2 months before the onset of this behavior, Susan had multiple caregivers and received little attention from her parents. Nevertheless, she smiled often and was responsive to all of her caregivers. The most likely diagnosis is A. rumination disorder B. reactive attachment disorder C. pica D. failure to thrive

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