A 4-year-old boy presents to the clinic with his parents, wh…

A 4-year-old boy presents to the clinic with his parents, who report a fever of 103 oral for the past 2 days. During the evaluation, the patient begins to have involuntary tonic-clonic movements lasting approximately 3 minutes then returns to baseline within 2 minutes. What is the most appropriate next step in management?

A 5-year-old patient presents for their annual well-child ex…

A 5-year-old patient presents for their annual well-child exam. History reveals that the patient snores loudly most nights of the week. You also learn the patient is a very sound sleeper, is a mouth breather, tends to be hyperactive at school and reports headaches in the evening. Which parts of the history indicate a possible diagnosis of obstructive sleep apnea?

A 6-year-old girl presents to clinic after her teacher notic…

A 6-year-old girl presents to clinic after her teacher notices episodes of ‘spacing out’. The episodes typically last about 10 seconds and happen multiple times over the course of the school day. During these episodes, the girl becomes still and does not respond to attempts at engagement. There are no rhythmic movements noted and no loss of tone. After the episode is over, the girl resumes previous activity. The girl’s vital signs and physical exam are normal. A staring spell is elicited after having the girl blow a pinwheel in clinic. What is the most likely diagnosis?

A 15-year-old girl presents to the clinic for evaluation of…

A 15-year-old girl presents to the clinic for evaluation of cramping abdominal pain. It started several months ago and is associated with fatigue, nausea, vomiting, and red-colored diarrhea. On examination, she appears pale and you note that she has sustained a 10-pound weight loss since her last clinic appointment. You suspect an inflammatory bowel disease causing her symptoms of colitis. Which of the following would raise suspicion of a diagnosis of ulcerative colitis versus Crohn’s disease?