determine
Forum Guru
Topics: 152
Posts: 335
|
A mother brings her 2-year-old toddler to you because he does not eat. Pregnancy and delivery were normal and his birth weight was 4 kg. He was breastfed up to 6 months of age. He is now drinking 1.5 L of milk a day, and loves juices. His height (91 cm) is in the 90th percentile and his weight 16.5 kg) is over the 97th percentile for his age. Which one of the following measures is most appropriate in the initial management of this problem?
1) Admit the child to hospital for adrenal, pituitary and thyroid function tests.
2) Refer the mother and her son to a child psychiatrist.
3) Plan an appropriate diet for his age.
4) Reassure the mother and check his weight in 3 months.
5) Add vitamin supplements to his regular diet.
|
| Rasul
Forum Guru
Topics: 56
Posts: 485
|
3? Plan an appropriate diet for his age?
|
| p53
Forum Guru
Topics: 51
Posts: 804
|
3.
___________________
"Everything should be made as simple as possible, but not simpler." - Albert Einstein
|
| yasmeen
Forum Guru
Topics: 67
Posts: 936
|
3
|
| determine
Forum Guru
Topics: 152
Posts: 335
|
what is the exact percentile to assume an infant as obese?
|
| AAAAA
Forum Fanatic
Topics: 153
Posts: 1,983
|
The weight scale just changed ! WHO change the weight scale for infants and toddles becasue it is a biased research study based on white American babies instead of world-wide babies.
___________________
seeking study partner in USMLE examination
|
| frontal
Forum Guru
Topics: 53
Posts: 421
|
Yes indeed. They've changed the scales, admitting that the previous ones were wrong and have contributed to obesity. But the reason they gave is that the previous scales were based on birth weights of infants who received supplemental feeds and not breast-feed.
|
| determine
Forum Guru
Topics: 152
Posts: 335
|
so does anybody know the new sacles to assume an infant as obese?
|
| msyamp
Forum Fanatic
Topics: 60
Posts: 1,462
|
ITS ALWAYS 2 SDs THAT IS ??
___________________
If you think you can You can! If you think you cant you are right again!!
|
| AAAAA
Forum Fanatic
Topics: 153
Posts: 1,983
|
The new recommendation is if the child fells behind in weight on breast feeding, forumla, supplemental oral nutritional feeding may be recommendated
___________________
seeking study partner in USMLE examination
|
| achilles
Forum Guru
Topics: 87
Posts: 1,208
|
i'll go for 3 too - plan an apt diet for the child.
___________________
" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
|
| achilles
Forum Guru
Topics: 87
Posts: 1,208
|
ya i read it too....WHO admitted that the chart that doc's all over the world had been following for the last 40 yrs had some calculation mistakes. it did not consider the brith weight of a child only on breast feed. they have now lowered the ideal weight gain so that the child may not be wrongly diagnosed as underweight. i am pasting below a news article i read on the topic.
"Due to the faulty chart, mothers were wrongly told their babies were underweight. This led to overfeeding of newborns, making them obese.
WHO experts had erred in formulating the chart on the basis of growth rates of infants fed on bottled milk. Babies fed on formula milk put on weight much faster. So, normal weighing newborns fed on breast milk were found to be underweight. "
"The new chart is based on data from breast-fed babies. It was decided following a 15-year study involving more than 8,000 children from six nations, including India. The new chart says a one-year-old boy should weigh between 7.7 kg and 12 kg. The old chart said the weight should be between 8.1 kg and 12.4 kg. A oneyear-old girl's weight should be 7-11.5 kg against 7.4 to 11.6 kg of the old chart. "
___________________
" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
|
| determine
Forum Guru
Topics: 152
Posts: 335
|
what a disaster that we, doctors, cause!
|
| AAAAA
Forum Fanatic
Topics: 153
Posts: 1,983
|
Wrong, the doctors did not cause the msitakes.
It is the American Professors who designed those research projects 40 years ago without thinking about 80% of the population are in Asia and Africa and not in America.
___________________
seeking study partner in USMLE examination
|
|
| |
| | | | | | | | | | | | | | |
