After watching the trigger, please answer the following questions.
Question 01: What can you conclude with certainty from the presentation? |
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| Alice has chronic diarrhoea |
| Alice has amenorrhoea |
| Alice has depression |
| There is domestic violence |
| Check answer |
ExplanationFrom this initial history of the presenting illness we get a few factual elements. There seems to have been an illness, gastroenteritis, three months ago, but we need more history to exclude any ongoing gastrointestinal symptoms. There is concern that Alice may be more irritable than normal with denial of any seriousness to her recent weight loss and loss of periods. There has been some change in her performance at school but none of this is sufficient to confirm a diagnosis of a major depressive episode. Although her father is reported to get angry at meal times, we need to explore this further to see what this means in more detail and to ensure safety. |
Question 02: What is normal weight range for a 14 year old girl? |
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| approximately 40-75 kg |
| approximately 45-50kg |
| approximately 50-55kg |
| approximately 60 – 75 kg |
| Check answer |
ExplanationApproximately 40-75 kg, being the 3rd to 97th centile for weight for girls aged 14 to 15 years. CDC growth chart for girls aged 2 to 20 |