What measures would you take with the information you have gathered? Why?
You are admitting a 12-year-old child to your unit. The mother states that the child has a history of unexplained blackout episodes, headaches, sleep disturbances, and is presently exhibiting tremors.
What is the most likely cause of these symptoms?
What actions would you take during the interview process? Explain.
A young 33-year-old man is admitted to your unit with a chief complaint of “tiredness and morning headaches” even after sleeping.
How you would perform a comprehensive analysis of symptoms?
What are the possible causes of the symptoms?
What examinations would be crucial to determine the cause of his problems? Why?
knee or hip pain for Slipped capital femoral epiphyses. History of dietary practices, TV/screen viewing duration and physical activity may give some insight into the cause of weight gain. Majority of parents of obese children feel that their child’s weight gain is due to pathology and are oblivious to their life-style. A detailed dietary history with calculation of caloric intake would help convince them about the need for life style changes. 2) Anthropometry: Obtain a weight, height, calculate BMI and measure waist circumference (WC) if possible. Plot these measurements on respective charts for age and gender for the Indian population. BMI chart will classify the child as over-weight/obese and demonstrate the duration and rapidity of weight gain. Reduced height velocity suggests an endocrine problem whereas in exogenous obesity linear growth is normal. Waist Circumference (WC) is a good indicator of central adiposity and is a better predictor of metabolic syndrome (24,25), cardiovascular disease risk factors (26) and insulin resistance in children than BMI. A cut-off of 70th WC percentile is suggested to screen children for risk of MS in our population. WC is measured with the child standing using a non-stretchable tape applied horizontally just above the upper lateral border of the right ileum(27). Measurement is made at the end of a normal expiration and recorded to the nearest 0.1cm. Age- and sex-specific reference curv>GET ANSWER