Obesity_flashcards
How much does the child weigh? Centile? Redbook? What about for height?
The child’s weight should be measured and plotted on the centile chart in the Redbook, along with their height.
What is eaten and drunk in a normal day? What are the exercise levels like? Does the child enjoy sports?
Record details about the child’s daily diet and exercise levels. Ask if the child enjoys participating in sports.
Any stretch marks? Any snoring or breathing difficulty? How is sleep in general? Is the child not sleeping enough?
Check for stretch marks, snoring, breathing difficulties, and overall sleep quality. Determine if the child is getting enough sleep.
When did the concern about weight begin and why?
Establish when the weight concern began and the reasons for it.
Are there any signs of hypothyroidism, such as feeling cold all the time or swelling in the neck?
Look for signs of hypothyroidism, such as feeling cold frequently or noticing any swelling in the neck.
Are there any signs of diabetes mellitus, such as polyuria or polydipsia?
Check for symptoms of diabetes mellitus, like frequent urination (polyuria) and excessive thirst (polydipsia).
Has the child had a fever?
Ask if the child has experienced a fever recently.
What was the child’s birth weight? Were there any neonatal problems? Was there gestational diabetes mellitus (GDM) in pregnancy?
Inquire about the child’s birth weight, any neonatal issues, and whether there was gestational diabetes during pregnancy.
What is the child’s past medical history and medication?
Review the child’s past medical history and any medications they are currently taking.
Is the child’s development normal otherwise?
Confirm that the child’s development is normal in all other areas.
Is there a family history of obesity, hypertension, or type 2 diabetes mellitus?
Check for a family history of obesity, hypertension, or type 2 diabetes mellitus.
How is the child coping at school and at home? Is the child being bullied? What is the attitude of other family members to weight? Are there any comments or scolding about weight?
Discuss how the child is coping in school and at home, including any experiences of bullying. Assess the family’s attitude towards the child’s weight and any comments or scolding related to it.
What are the patient’s Ideas, Concerns, and Expectations (ICE)?
Explore the patient’s ideas, concerns, and expectations regarding their weight and health.
