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Old 09-25-2011
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Default CCS: obesity in adolescent

Complete PE

Measure Height
Measure Weight
Calculate BMI -- you have to do this manually...not in the CCS software

Fasting Plasma Glucose
Fasting Lipid Profile
Serum TSH
24 hour urinary cortisol

If the age of the PT is 2-7 years old and BMI with 95 percentile......or more without complication, the goal should generally be maintenance of baseline weight,

For children 2‚€“7 years old with BMI at the 95th percentile or above and secondary complications, weight loss is indicated

For children older than 7 years with BMI between the 85th and 95th percentile, without complications, weight maintenance is an appropriate goal.

I guess this patient's BMI >95th percentile


Weight Loss diet
Counsel Patient for Exercise Program
Counsel Patient
Counsel Family

Follow-up visit in 4 months

If no change...

Sibutramine or Orlistat, po
Follow up in 6 weeks
If morbid obesity, BMI more than 45

Consider Bariatric surgery

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