A 13-year old boy presents for his annual physical. His is in the 98th percentile for weight and 50th percentile for height. On physical exam you note dark, velvety skin changes on his neck. You order a work up. His non-fasting glucose is 210 mg/dL and his hemoglobin A1c is 7%. What is the next best step?
Blog
A child can say three words, not including mama and dada, an…
A child can say three words, not including mama and dada, and can follow directions without a specific gesture. Based on this description of the child’s language development, how old is she?
You are seeing a 7-year-old girl for complaints of a painles…
You are seeing a 7-year-old girl for complaints of a painless rash x several days. She lives with her older brother and parents in the “country” and spend most of her free time outdoors. On exam, you note an erythematous bull’s eye lesion approximately 3 inches in diameter to her left thigh. Given your presumptive diagnosis, what would be the appropriate treatment for her at this time?
When do infants typically gain more weight?
When do infants typically gain more weight?
You are seeing a 12-year-old girl for her annual exam. She h…
You are seeing a 12-year-old girl for her annual exam. She has no significant medical history and no complaints. Vital signs are normal and she is 57 inches in height (25th percentile) and 151 pounds (98th percentile). BMI is above the 97thpercentile for her age. Her BMI at her last exam 2 years ago was at the 83rd percentile and her lipid screen was normal. What are the current recommendations for lipid screening for this patient?
Chronic lung disease and/or bronchopulmonary dysplasia (BPD)…
Chronic lung disease and/or bronchopulmonary dysplasia (BPD) in premature infants is caused by:
18-year-old man who has sex with men presents with dysuria a…
18-year-old man who has sex with men presents with dysuria and copious penile discharge for several days. Urine dipstick shows positive leukocyte esterase and negative nitrites. Which one of the following is considered first-line empiric therapy?
An Pediatric NP in primary care clinic has decided to implem…
An Pediatric NP in primary care clinic has decided to implement evidence-based practice for screening adolescents for depression. Which of the following should be avoided in evidence-based practice?
What are the most likely comorbid disorders that can accompa…
What are the most likely comorbid disorders that can accompany eating disorders?
What imaging study would be recommended for a 4 week-old who…
What imaging study would be recommended for a 4 week-old who is noticed to have limited hip abduction and asymmetry of the thigh folds?