Obesity

Andy

R
Andrie R
Helen K
Heni R
Manta AK

case
A 12-year-old boy is brought to the physicians office with right tight
pain and a limp. His mother has noticed him limping for the past week
or so. He denies any injury to his leg but says that it hurts some when
he plays basketball with his friends. he denies back pain, hip pain, or
ankle pain. He occasionally gets some pain in the right knee but does
not have any swelling or bruising. He has no significant medical history,
does not take any medications regularly, and otherwise feels fine. On
examinations, he is a overweight adolescent. His vital signs and
general physical examination are normal. When you have him walk, he
has a prominent limp. You note that he seems to keep his weight on his
left leg for greater proportion of his gait cycle then he does on the right
leg. Examination of his back reveals a full range of motion, no
tenderness, and no muscle spasm. He gets pain in the right hip when it
is passively internelly rotated. When the hip is passively flexed there is
a noticeable external rotation. There is no tight muscle atrophy. His
right knee and the rimainder of his orthopedic examination are normal.

Keyword

A 12-year-old-boy
Right tight pain and a limp
Limping for the past week
Injury leg (-) but hurt when plays basketball
Back pain, hip pain, ankle pain (-)
Occasionally gets some pain in the right knee
Swelling and bruising (-)
Medication regularly (-)
Overweight adolescent
Vital sign and physical examination are normal
Prominent limp
Back examination full range of motion
No tenderness
No muscle spasm
Orthopedic examination is normal

Problem

A 12-year-old boy got right tight pain and a

limp for the past week

Hypothesis

A 12-year-old woman complaining of cough

for 2 weeks caused by obesity

Diagnosis
The patient seems to have obesity. There is
no injuryin this case also do not the truth of
caused

Treatment and Management

In this case, youll need to take some rest
for a few days, also we need to focus about
his weight.

Education
Consider speaking to your healthcare provider
to get a realistic and objective evaluation of
your weight and your health.
Choose to focus on things you can control, like
self-care choices about food, physical activity,
stress management and sleep.
A professional counselor or psychotherapist
may be very helpful in exploring the roots of
the problem
You should be gentle and patient with yourself.

Prognosis
Obesity increases your risk of many other
diseases and health problems, including the
following:
Heart disease
Diabetes
High blood pressure
Stroke

Thank You
For your attention