A 13-year-old female presents with fatigue, pallor, and decr…
A 13-year-old female presents with fatigue, pallor, and decreased exercise tolerance. She reports heavy menstrual periods since menarche, lasting 7 to 8 days and requiring frequent pad changes. Her diet is limited, and she often skips breakfast. Exam shows conjunctival pallor but is otherwise normal. What is the most appropriate next step?
Read DetailsA 30-year-old female presents with vaginal itching and thick…
A 30-year-old female presents with vaginal itching and thick white discharge for 3 days. She reports having three similar episodes over the past 6 months, each temporarily improving with over-the-counter treatment. She recently completed a course of antibiotics. She denies fever, pelvic pain, or abnormal bleeding. On exam, there is vulvar erythema and thick, white, clumpy discharge without odor. What is the most appropriate next step?
Read DetailsA 4-year-old female presents with dysuria, urinary frequency…
A 4-year-old female presents with dysuria, urinary frequency, and new daytime accidents for 2 days. She is afebrile, active, and eating normally. Her mother reports bubble baths several times per week and says the child wipes independently. Abdominal exam is benign, and there is no flank pain. What is the most appropriate next step?
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