The parent of a 14-month-old child reports the child appears…
The parent of a 14-month-old child reports the child appears pale, tired, fussy, and has a decreased appetite and hard stools. The onset of these symptoms began 1 month ago when the grandparents began watching the child in their home daily while the parents worked. The child has been healthy and is up to date on vaccinations and well visits. What should be included in the plan for this child?
Read DetailsA 10-year-old presents to clinic with new-onset bedwetting….
A 10-year-old presents to clinic with new-onset bedwetting. He denies dysuria, fever, vomiting, headache, change in behavior or new stressors in his life. He is on no medications and is doing well in school. His BMI is above the 97th percentile. He is afebrile. His BP is 120/80, pulse 95, and respiratory rate 18. The examination reveals his nuchal skin is hyperpigmented and velvety in texture. Other physical findings are unremarkable. What is the most probable underlying cause of his bedwetting?
Read DetailsA 9-year-old child presents to clinic with his second migrai…
A 9-year-old child presents to clinic with his second migraine headache in 3 months. The caregiver has been giving the child acetaminophen for pain without improvement. Which medication should be the next step in treating this child’s migraine headache?
Read DetailsA 30-month-old child presents to clinic with a “rash” which…
A 30-month-old child presents to clinic with a “rash” which developed 3 weeks after the child had Influenza B. The parent states the rash looks like “little red dots”. Additionally, the parent noted the child’s gums bled this morning when brushing teeth. The child is afebrile and the rash is non-blanching upon exam. What is the most likely diagnosis for this child?
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