Nutrition

Question 1

Obesity

Answer 1

1) weight for height: >2SD
2) BMI >95th centile for age and sex

An obese child is at risk of

• hypertension
• DM
• slipped capital femoral epiphysis
• blount disease, a cause of bow leg
• sleep apnea and CO2 retention ( Pickwick syndrome)
• psycological disorders such as low self esteem

Question 2

Oedema ddx

Answer 2

Ddx:

• severe acute malnutrition (absence of ascites)
• nephrotic syndrome (presence of ascites)

Question 3

Clinical signs of malnutrition

Answer 3

• Nappy pants
• visible wasting
• dermatosis
• hair change
• generalized edema