Body dysmorphic disorder (BDD) can be a chronic and severe condition that often starts in adolescence. The telltale sign: children’s preoccupation with the idea that there’s something wrong with how they look, when in reality the imperfections they perceive in their appearance are slight or nonexistent.
This article briefly discusses theories on why poor body image develops and the strong link to disordered eating; ways to screen for poor body image and eating disorders in children and adolescents; and some efforts under way to prevent and intervene in children at risk of, or who have developed, poor body image.
A previously healthy 8-month-old girl presented to the emergency department with fever and increased work of breathing. She was hospitalized for hypoxia attributed to community-acquired pneumonia, treated with ceftriaxone, and weaned to room air over several days. On the morning of planned discharge, she was noted to have had persistently elevated blood pressures for the past 12 hours.
In hopes of reversing the alarming trend of childhood obesity, 25 states currently have instituted BMI (Body Mass Index) surveillance and screening programs in schools—and 9 of those states require BMI “report cards” be sent home to parents.
I believe many physicians in primary care are troubled practicing in the current healthcare environment. Regardless of what they earn, many feel they are too busy and don’t have time to adequately listen to the concerns of their patients and their families.
When I started my pediatric practice in 1986, we tested patients for strep throat by performing a throat culture, which was placed in a small office incubator for 48 hours. Typically, we put patients on an antibiotic pending culture results and would stop antibiotics if the culture proved negative. In my first year of practice, an interesting new technology arrived—rapid antigen detection tests (RADTs). These tests were reasonably accurate and enabled us to make a diagnosis at the time of the visit.