A 13-year old boy presents for his annual physical. His is i…

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?

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?