Prompt

You have 8 minutes with a parent and a 14-year-old whose weight has fallen from 58 kg to 51 kg in four months. BMI is on the 30th percentile. Counsel, outline assessment and agree a plan.

Station brief (candidate)

Quantify percentage loss and explain why BMI band alone is not reassurance.
Screen for medical red flags (including polyuria/polydipsia) and restriction behaviours.
Outline examination priorities (vitals, orthostatics) and first-line tests.
Agree a plan: safety, nutrition restart principles, team involvement, follow-up and safety-net.
Use respectful language with adolescent and caregiver; teach-back. [1] [2]

Paediatrics Fellowship Pro

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References5Show ledger

[1]Hornberger LL Identification and Management of Eating Disorders in Children and Adolescents. Pediatrics, 2021.PMID 33386343
[2]Society for Adolescent Health and Medicine Medical Management of Restrictive Eating Disorders in Adolescents and Young Adults. The Journal of adolescent health, 2022.PMID 36058805
[3]da Silva JSV ASPEN Consensus Recommendations for Refeeding Syndrome. Nutrition in clinical practice, 2020.PMID 32115791
[4]Veauthier B Diabetic Ketoacidosis: Evaluation and Treatment. American family physician, 2024.PMID 39556629
[5]Harrington BC Initial evaluation, diagnosis, and treatment of anorexia nervosa and bulimia nervosa. American family physician, 2015.PMID 25591200

Station brief (candidate)

Quantify percentage loss and explain why BMI band alone is not reassurance.

Screen for medical red flags (including polyuria/polydipsia) and restriction behaviours.

Outline examination priorities (vitals, orthostatics) and first-line tests.

Agree a plan: safety, nutrition restart principles, team involvement, follow-up and safety-net.

Use respectful language with adolescent and caregiver; teach-back. [1] [2]

Paediatrics Fellowship Pro

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References5Show ledger

[1]Hornberger LL Identification and Management of Eating Disorders in Children and Adolescents. Pediatrics, 2021.PMID 33386343
[2]Society for Adolescent Health and Medicine Medical Management of Restrictive Eating Disorders in Adolescents and Young Adults. The Journal of adolescent health, 2022.PMID 36058805
[3]da Silva JSV ASPEN Consensus Recommendations for Refeeding Syndrome. Nutrition in clinical practice, 2020.PMID 32115791
[4]Veauthier B Diabetic Ketoacidosis: Evaluation and Treatment. American family physician, 2024.PMID 39556629
[5]Harrington BC Initial evaluation, diagnosis, and treatment of anorexia nervosa and bulimia nervosa. American family physician, 2015.PMID 25591200

Weight loss in children and adolescents — OSCE

Station brief (candidate)

Weight loss in children and adolescents — OSCE

Station brief (candidate)