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Briefing — read this before starting. The transcript will appear here once the consultation begins.
Doctor Notes
Patient Information
Name: Leo Ahmed
Age: 14 months
Gender: Male
Speaking with: Sara (Mother)
Parents: Sara Ahmed (29), Imran Ahmed (32)
Reason for Consultation
Leo's mum, Sara has booked a consultation with you to discuss some concerns raised by the nurse.
Recent Medical Notes (Practice Nurse Review – 5 days ago)
Leo attended with his mother for routine immunisations.
Observations:
- Weight significantly reduced for age (below 2nd centile)
- Length ~25th centile
- Head circumference preserved at ~50th centile
Safeguarding Flag
Amber safeguarding flag applied by health visitor at 12 months for faltering growth and repeated missed reviews.
Past Medical History
- Born at 39+4 weeks via spontaneous vaginal delivery
- Birth weight 3.4 kg (60th centile)
- No neonatal complications
- Newborn screening normal
- Mild eczema since infancy
Current Medications
- Vitamin D drops (intermittent use)
- Emollients for eczema
NKDA
Feeding History
- Breastfed until ~11 months
- Now mainly oat-based milk and home-prepared blended foods
- Dairy avoided due to eczema concern
Health Visitor Records
- 8 weeks: weight 55th centile, no concerns
- 4 months: weight 50th centile
- 9 months: weight dropped to 25th centile, follow-up DNA
- 10 months: telephone follow-up unanswered
- 12 months: non-attendance — amber safeguarding flag applied
- 13 months: practice nurse measured weight below 2nd centile