Am Fam Physician. 2022;105(6):online
Author disclosure: No relevant financial relationships.
To the Editor: A healthy 13-month-old was brought to the clinic for his one-year well-child examination. After an uneventful prenatal course, he was born at term to a 33-year-old patient via normal spontaneous vaginal delivery. The Apgar scores were 8 and 9 at one and five minutes, respectively. The infant has attended all recommended well-child examinations, and his vaccinations are up-to-date. His developmental milestones have been age-appropriate. During this visit, his weight was in the 98th percentile, height in the 90th percentile, and head circumference greater than the 99th percentile. On physical examination, his head appeared disproportionately large for his body. The anterior fontanelle was soft and flat, and his gait was normal.
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