Common paeds history - Weight increase Flashcards
What would you want to ask about weight increase in a child?
- Growth chart
- Input - dietary intake, feeding history, hinger
- Use - energy, activity level, exercise
- Others - behaviour, general health, happiness, parents health
- BMI
What general features would you want to ask about in a chidl with weight gain?
- Fever
- Behaviour
- Activity/apathy/alertness
- Cold intolerance
What specific features mighht you want to ask about in a child with weight gain?
- Stature
- Changes in appearance
- Hirsuitism
- Fat distribution
- Bowel habit
- Pubertal changes
What features associated with weight gain would suggest hypothyroidism as a cause?
- Delayed puberty/growth
- Fatigue
- Cold intolerance
- Dry skin
- Coarse hair
What features associated with weight gain in a child would suggest Cushing’s syndrome?
- Delayed growth/puberty
- Central obesity
- Easy brusing
- Cushingoid facial features
- Intrascapular fat pad
What features associated with weight gain would suggest PCOS as a cause?
- Hirsuitism
- Acne
- Oligo/amenorrhoea
- Adolescent female
- Diabetes
What features associated with weight gain would suggest simple obesity as a cause?
- Snacking
- Lack of exercise
What features associated with weight gain in a chidl would suggest familial obesity?
Parents with high BMI
What are endocrine causes of weight gain in a child?
- Hypothyroid
- Cushings
- PCOS
What are non-endocrine causes of weight gain in children?
- Simple obesity
- Familial
- Oedema - renal/cardiac
- Steroid use
- Genetic syndromes
- Causes of Hepatosplenomegaly
What genetic syndromes would you consider as a cause of weight gain in a child?
- Turner’s syndrome
- Prader Willi syndrome
