Category

Description

Score

face (baby supine, head in mid-line)

excess fullness to face

5

large temporal and buccal pads

4

flat temporal pads with obvious buccal pads

3

flat temporal pads with scant buccal pads

2

concave cheeks

1

chest (head in mid-line, observe anterior chest wall)

round contour, with large fat pads in anterior axilla

5

round contour with ribs not obvious

4

some ribs noted

3

ribs more obvious, with intercostal spaces prominent

2

ribs prominent, with intercostal spaces concave

1

thigh (over inguinal triangle)

skin taut

5

skin and subcutaneous tissue displaceable with difficulty

4

skin and subcutaneous tissue moderately displaceable

3

skin and soft tissue easily displaceable

2

skin lies in folds with little subcutaneous tissue

1

buttocks (body prone, legs flexed beneath abdomen)

buttocks large, round and firm, with deep gluteal fold

5

buttocks round and firm, with deep gluteal fold

4

buttocks round and less firm. with flattening of inferior border; less deep gluteal fold

3

flat inferior margin to buttocks, with gluteus maximus and perirectal muscles obvious; gluteal fold flattened

2

little to no gluteus maximus, with inferior margin sagging; no gluteal fold

1