GI

Question 1

15yo boy with BMI of 36 presented with severe R hip pain. Ortho did open repair of newly diagnosed SCFE and pt is recovering well. At discharge, the BEST recommendation for this patient regarding his weight is:
A) intensive lifestyle modifications
B) referral to bariatric surgery program
C) referral to nutrition
D) referral to psychology

Answer 1

B. Best practice guidelines recommend bariatric surgery for adolescents with severe obesity (BMI>34) and a significant comorbid condition (ie OSA, T2DM, IIH, SCFE, hypertension, etc) or for BMI >40.
A, c, and D unlikely to achieve sustained weight reduction.

Question 2

If you see hypergammaglobulinia plus hepatitis, what should you be suspicious for?

Answer 2

Autoimmune hepatitis