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Kevin’s growth has been recorded in his patient file at regular visits to the cl

ID: 162459 • Letter: K

Question

Kevin’s growth has been recorded in his patient file at regular visits to the clinic. Plot his growth with WHO Growth charts with the provided URL: https://www.cdc.gov/growthcharts/who_charts.htm#The%20WHO%20Growth%20Charts.

Age

(month)

Weight

(lb)

Length

(in)

Head circumference

(in)

Birth

8 lbs 2 oz

21

-------

1

11 lbs 3 oz

22 1/4

-------

2

13 lbs 8 oz

24

15 ¾

3

16 lbs

25 ½

-------

4

17 lbs 10 oz

26

16 ¾

6

19 lbs 5 oz

27 ½

-------

9

19 lbs 10 oz

29

18 ¼

What are Kevin’s current percentiles for the following anthropometric indexes? (ANSWER IN THE “CURRENT PERCENTILE” COLUMN”) Is Kevin’s overall growth considered normal or worrisome? (ANSWER IN “OVERALL TREND” COLUMN) Interpret the data from the previous two columns and comment i.e.---What does his overall growth say about his nutritional status? What is he at risk for? Hypothesize which factors could have influenced his growth. etc (ANSWER IN “COMMENT” COLUMN)

Anthropometric Index

Current Percentile

Overall Trend Since Birth

Stature/Length-for-Age

Head Circumference-for Age

Age

(month)

Weight

(lb)

Length

(in)

Head circumference

(in)

Birth

8 lbs 2 oz

21

-------

1

11 lbs 3 oz

22 1/4

-------

2

13 lbs 8 oz

24

15 ¾

3

16 lbs

25 ½

-------

4

17 lbs 10 oz

26

16 ¾

6

19 lbs 5 oz

27 ½

-------

9

19 lbs 10 oz

29

18 ¼

Explanation / Answer

Anthropometric index Current percentile Overall trend since birth Comment Weight - for - Age 50 Normal baby is following the curve. caloric intake is fine.Breast feeding seems to be useful. Length for Age 50 Normal baby growth points closely follow the percentile line. calorie intake seems to be adequate. Weight-for-Length 50 Normal Weight accumulation is always running parallel to the percentile line. Nutritious feeding is what the baby gets. Head circumference for age 90 Worrisome baby growth rate crossed two percentile lines. It could be nothing or could be because of genetics/ Hydrocephalus. A thorough examination is needed to clear all doubts.