Paeds Vivas · clinical-assessment-and-reasoning
Weight loss in children and adolescents — viva
Branching structured oral on paediatric and adolescent weight loss.
On this page
Study tools
Target exams
RACP DCEMRCPCH Clinical
Prompt
A plotted chart shows a 14-year-old whose weight has fallen 9 kg in four months. BMI is still within the 'healthy' band. You are the paediatric registrar in clinic.
Opening (must-hit)
"I will confirm true weight loss against baseline, quantify percentage loss, assess medical stability including cardiovascular signs and glucose red flags, then keep restrictive eating and organic disease open together while I plan safe nutrition and follow-up." [1] [2]
References7ShowHide
- [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]Veauthier B Diabetic Ketoacidosis: Evaluation and Treatment. American family physician, 2024.PMID 39556629
- [4]da Silva JSV ASPEN Consensus Recommendations for Refeeding Syndrome. Nutrition in clinical practice, 2020.PMID 32115791
- [5]Rosen MJ Inflammatory Bowel Disease in Children and Adolescents. JAMA pediatrics, 2015.PMID 26414706
- [6]Vaidyanathan P Update on Pediatric Hyperthyroidism. Advances in pediatrics, 2022.PMID 35985711
- [7]Kambanis PE Assessment and Treatment of Avoidant/Restrictive Food Intake Disorder. Current psychiatry reports, 2023.PMID 36640211