obesity in children. السمنة عند الأطفال

فيديو جديد للتعامل مع السمنة عند الأطفال
#Obesity_approach
1-TSH/T4
2-Dexamethasone suppression test.
3-Liver US.
4-Lipid profile.
5-Gonadal us. /FSH+LH ratio.
6-HBA1C/serum glucose.
7-Insulin and C-peptide.
8-BP monitoring.
9-If there is hypotonia and MR : do fish study for Prader-Willi syndrome.
10-If the child is female and has short stature : do karyotype.
11-Such patients usually have history of snoring which may be associated with obstructive sleep apnea : Do echo to look for RVH.
Do ECG : RVH +RAD+p pulmonale.
12-Ask about the family history and the nutritional history.
TTT:العلاج 👇👇👇👇👇👇
دائما اذا في سبب لازم نعالجه
Weight reduction
Exercise ( to walk 1h/day for 5 times/week)
Nutritional consultation
Metformin once she has acanthosis nigricans.
زميلكم : الدكتور محمد حمادنه
إختصاصي طب الاطفال وحديثي الولادة
البورد الأردني والبريطاني بطب الأطفال