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?

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?

A 6-month old falls out of her high chair onto the kitchen f…

A 6-month old falls out of her high chair onto the kitchen floor and is brought to the ED by her parents. Parents report no loss of consciousness, vomiting, seizure activity, or excessive sleepiness. Her parents note that she should be hungry at this time but she has been fussy and refusing feeds. Her physical exam is normal. Which of the following is the next best step in management?

You are seeing a 14-day-old baby. The mother is concerned be…

You are seeing a 14-day-old baby. The mother is concerned because the baby “looks yellow”. She is solely breastfeeding about 6-8 times a day for 10 minutes on each side. Perinatal history is unremarkable. The baby’s bilirubin levels are elevated (all indirect bilirubin). Vital signs and weight gain are normal. On physical exam, baby is jaundiced to the umbilicus. Which of the following is the most likely diagnosis?