Cleveland Children's Clinic developed this handbook for conducting a nutrition-focused physical exam (NFPE) of pediatric patients. Fully illustrated, this handbook assists bedside clinicians in nutrition assessment, helping discern the presence and degree of malnutrition. Most healthcare disciplines perform a physical exam and a NFPE should be part of the nutrition clinician’s skill set. Techniques and tips that can be used in daily practice when examining patients, as well as charts and references, are provided. Chapters include:: Overview of Physical Exam Techniques Physical Exam of Subcutaneous Fat and Muscle Assessment of Fluid Status Assessment of Functional Status Physical Exam of Hair, Eyes, Oral Cavity, Nails and Skin Birth to 3 Years of Age Ages 3 to Ages 11 - 20 Years Nutrition Issues in Specialty Populations (Critical Care, Obesity, Developmental Delay and Neurological Impairments)