04: 8-year-old male well-child check Flashcards
How do you calculate the BMI?
weight in kg/height in m^2
What’s the “weight age”?
Age at which the patient’s weight would plot at the 50th percentile
What are the 3 core symptoms of ADHD?
- Inattention
- Hyperactivity
- Impulsivity
What disorder has the highest comorbidity rates with ADHD and is characterized by negativistic, hostile, and defiant behavior?
ODD
What’s a more extreme version of ODD?
Conduct Disorder
What can the following all be risk factors for? Maternal illness or substance abuse, birth complications, meningitis, h/o head trauma, parental h/o this?
Learning Disability
80% of children with ADHD respond to ______ medications such as _______?
Stimulant; Methylphenidate
What are the 3 most common adverse effects of ADHD medications?
- Appetite suppression
- Insomnia
- Decrease in growth velocity
What’s the probability that childhood obesity persists into adulthood (ate age 4 vs adolescence)?
20% at age 4; 80% at adolescence
What are prenatal/neonatal risk factors for obesity (2)?
- High birth weight
2. Maternal diabetes
What percentage of overweight children get sleep apnea?
7%
What fraction of overweight children with BMI above the 95th percentile have HTN?
1/3
What’s a condition that usually occurs at the onset of puberty in obese patients with delayed sexual maturation and involves the displacement of the femoral head from the femoral neck through the physeal plate?
Slipped Capital Femoral Epiphysis (SCFE)
What’s the average BMI for pediatric patients with T2DM?
35-39 kg/m^2
What are the 3 ways to diagnose T2DM?
- HbA1c>-6.5%
- Fasting plasma glucose >-126
- 2-hour fasting (or random in a patient with sx of hyperglycemia) plasma glucose >-200
