A 11-year-old boy presents for evaluation of headaches and d…

A 11-year-old boy presents for evaluation of headaches and difficulty concentrating at school. He is overweight with a BMI in the 92nd percentile. His blood pressure readings over the last three clinic visits where: Visit 1: 128/82 Visit 2: 130/84  Visit 3: 132/86 *Reference: 90th percentile for an 11 year old boy at 50th percentile in height is 117/76 95th percentile for an 11 year old boy at 50th percentile in height is 121/80 His height is at the 50th percentile for age. He has no known medical history. Physical exam is normal except acanthosis nigricans. UA is normal. What is the most accurate diagnosis?

A 14-year-old boy presents to the ED with sudden onset of se…

A 14-year-old boy presents to the ED with sudden onset of severe left testicular pain that began 90 minutes ago while he was sitting in class. He has associated nausea and one episode of vomiting. He denies trauma. On exam, the left testicle is high-riding and horizontally oriented. The scrotum is mildly swollen and tender, and the cremasteric reflex is absent on the left. Transillumination is negative. Which of the follow is the most appropriate next step in management?