A 12-year-old female is in clinic with her mother for her we…

A 12-year-old female is in clinic with her mother for her well child exam. Mom is trying to be pro-active in discussing menstrual cycles with her daughter and asks you when you think she will start to have periods. With your knowledge about the Tanner Sexual Maturity Rating and Growth and Development, what is the most accurate thing to tell mom regarding her daughter’s period starting?  

A non-toilet trained infant is brought into the clinic for a…

A non-toilet trained infant is brought into the clinic for a 2 day history of a suspected viral illness causing diarrhea. When performing your history/review of systems, what response would warrant referral to the emergency department for aggressive IV rehydration?