Explain which is the most likely diagnosis for the patient and why.

The differential diagnosis for Trina includes obesity, asthma or allergies, and dyslipidemia. Her mother’s report of picky eating combined with her activity level would suggest that she may be at risk of or even have obesity. Obesity is a metabolic disorder characterized by excess body fat and is diagnosed when a patient has an increased BMI (Body Mass Index) compared to age-matched peers. During physical examination increased adipose tissue can be palpated in the neck, trunk, arms and legs [1].

For this case study, it appears likely that Trina has obesity as her weight of 110 pounds combined with her height places her in the 97th percentile for BMI based on CDC metrics for children aged 5–17 years old [3]. Furthermore, both parents take medication for dyslipidemia which is another marker of obesity in pediatrics.

Treatment and management plan should involve lifestyle changes including dietary modifications limiting high calorie foods with low nutrient value such as processed sugars found in sodas/juices etc., increasing fruit/vegetable consumption by offering them as snacks; limiting TV watching/video game play time; emphasizing regular physical activities like sports 1 hour every day after school if possible; involving family members especially siblings in order to increase support & consistency [2]. In addition pharmacological agents might also help jumpstart loss process via appetite suppressants or other related medications (elevation > 95% one must consult endocrinologist).

Education strategies should include healthy eating habits focusing on low calorie plant derived food sources while cutting down on junk food intake , attending nutrition classes periodically to gain better perspective regarding combination of vitamins /minerals present within different items consumed regularly .They need understand importance portion control & engage entire family into flexible diet plans also involving prepared meals from outside being served occasionally but mixing local flavors inside so everyone gets exposed to new cuisines without raising overall caloric intake significantly .Additionally motivate thru physical activities trying hard convincing them enjoy doing few exercises regularly since monitoring weight gain only won’t work forever unless they appreciate joy doing something together e.g.: swimming , biking – jogging etc. Lastly consider joining support groups where people share their experiences not just success stories but failures too making it easier realize nobody perfect more important keep going once fail break routine[4]