#ir #peds
Physical Exam
• Obtain and plot weight, height, BMI on WHO Growth Charts for Canada
Complete physical exam
• Findings to look for
o Hypertension
o Enlarged thyroid
o Acanthosis nigricans (insulin resistance)
o Striae
o Hepatomegaly
o Hirsutism
o Hip/knee pain or decreased ROM (Blounts, SCFE)
o Sexual maturity rating
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Growth3;
o Assess after‐school and weekend activities
o Assess screen time (television, computer, movies, video games)
• Assess psychological impact of weight on child (bullying, depression,
anxiety, social isolation etc.)
<span>Physical Exam
• Obtain and plot weight, height, BMI on WHO Growth Charts for Canada
Complete physical exam
• Findings to look for
o Hypertension
o Enlarged thyroid
o Acanthosis nigricans (insulin resistance)
o Striae
o Hepatomegaly
o Hirsutism
o Hip/knee pain or decreased ROM (Blounts, SCFE)
o Sexual maturity rating
Investigations
• Investigations can be performed for children who meet cut‐off point
for obesity
• Lipid profile, glucose, HbA1C
• Liver enzymes (specific Summary
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Details