Question: Miss R. Is A 12 Year Old Hispanic Female Referred To You By Her PCP For “fatty Liver” . Miss R. Is Accompanied By Her Mother Who Does Most Of The Talking As The Patient Is Embarrassed And Withdrawn. Patient Is An Only Child Who Enjoys Watching Movies And Reading Books. Patient Has Recently Complained Of Being Tired, Falling Asleep In School, And …

Miss R. Is a 12 year old Hispanic female referred to you by herPCP for “fatty liver” . Miss R. is accompanied by her mother whodoes most of the talking as the patient is embarrassed andwithdrawn. Patient is an only child who enjoys watching movies andreading books. Patient has recently complained of being tired,falling asleep in school, and mild abdominal. She was born LGA at10 lbs 2 Paz. Mother states she has always been a ‘big girl’.
Do you think girl has an obesity issue?

Do you think she may have Diabetes type 2?

What treatment plan would you consider for this girl consideringher daily nutritional intake?

Do you think she may have some type of liver damage?

Would you consider this young girl get a lab panel to see howhe4 blood glucose levels are?

Consider the best diet plan taking into account she is only 12years old. Explain the rationale behind the suggested dietplan?