Eso Pediatric Obesity Total Cholesterol Interpretation
ASecurity
This skill interprets fasting total cholesterol levels to screen for dyslipidemia in children and adolescents undergoing obesity evaluation. Triggered by pediatric obesity screening (BMI ≥85th percentile) or dyslipidemia evaluation, it classifies cholesterol as acceptable (<170 mg/dL), borderline high (170‑199 mg/dL), or high (≥200 mg/dL) per Endocrine Society guidelines.
Installs into .claude/skills of the current project.
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---
name: eso-pediatric-obesity-total-cholesterol-interpretation
description: This skill interprets fasting total cholesterol levels to screen for dyslipidemia in children and adolescents undergoing obesity evaluation. Triggered by pediatric obesity screening (BMI ≥85th percentile) or dyslipidemia evaluation, it classifies cholesterol as acceptable (<170 mg/dL), borderline high (170‑199 mg/dL), or high (≥200 mg/dL) per Endocrine Society guidelines.
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# Interpret total cholesterol for dyslipidemia screening
## STEP 1 — Gather Information
Obtain a fasting total cholesterol measurement, patient age, and confirm the child/adolescent is being evaluated for obesity (BMI ≥85th percentile) or dyslipidemia risk.
## STEP 2 — Rule In / Rule Out
Is the fasting total cholesterol <170 mg/dL? If yes, classify as acceptable and rule out dyslipidemia; if ≥170 mg/dL, proceed to further classification.
## STEP 3 — Classify or Stratify
If total cholesterol is 170‑199 mg/dL, classify as borderline high; if ≥200 mg/dL, classify as high.
## STEP 4 — Decide
For acceptable: continue routine obesity screening per guideline. For borderline high: repeat fasting lipid panel in 3 months and initiate lifestyle counseling. For high: obtain full fasting lipid panel, intensify lifestyle intervention, and consider referral for pharmacotherapy per pediatric dyslipidemia guidelines.
## Clinical Guardrails / Mimics / Pitfalls
Ensure the sample is fasting; non‑fasting specimens may overestimate cholesterol. Do not diagnose dyslipidemia on a single non‑fasting result. Consider acute illness, medications, or recent dietary changes that can transiently elevate lipids. Do not ignore concomitant triglyceride or LDL abnormalities.
## Concrete Clinical Example
A 12‑year‑old with BMI at the 98th percentile has a fasting total cholesterol of 185 mg/dL. This falls in the borderline high range; the clinician orders a repeat fasting lipid panel in 3 months and provides lifestyle counseling on diet and activity.
**Source:** Pediatric Obesity Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2017, DOI:10.1210/jc.2016-2573
> **TODO:** consider adding scripts/calc.py for the eso-pediatric-obesity-total-cholesterol-interpretation calculator
