A 15-year-old presents with a parent for “anxiety and headac…

A 15-year-old presents with a parent for “anxiety and headaches.” During intake the teen quietly tells the nurse, “Please don’t use my old name in front of my mom.” The chart lists the legal name, but the teen’s affirmed name and he/him pronouns appear in the portal. The parent says, “This gender stuff is just a phase—don’t bring it up.” The teen reports bullying and missing school. Question: What is the most appropriate NEXT step for the pediatric APRN?

Exhibit: A 9-year-old has 3 weeks of daily fevers that spike…

Exhibit: A 9-year-old has 3 weeks of daily fevers that spike to 39.5–40°C in the afternoon with return to baseline, plus a faint salmon-colored rash that comes and goes with fever. They now have painful swelling in multiple joints and hepatosplenomegaly. Which subtype is most consistent?