A 12-year-old female presents with a caregiver who is worried that the child has not developed breasts. The caregiver says that in their family, every female had menarche by age 12. The adolescent eats a well-balanced diet and is generally healthy. On exam, the child is in the 25th percentile for height and the 10th […]

A 9-year-old boy presents with weight loss, blood-streaked stools, and abdominal pain. He has also been having diarrhea and anal itching. His physical exam reveals a temp of 37.2°C (99° F), HR of 85, and BP of 111/67. His abdominal pain is 6/10 and he exhibits some voluntary guarding. The patient enjoys playing in the […]

A 17-year-old female presents to your clinic with her mother for evaluation of vomiting. A quick review of her chart reveals that she is sexually active and uses oral contraceptives for birth control. You enter the room and she reports that nausea and vomiting occur mostly in the mornings for the last three days. She […]

A 14-year-old boy comes in for evaluation. The patient has been experiencing severe sore throat, cervical lymphadenopathy, malaise, and low-grade fever. According to the caregiver, he was seen at an urgent care clinic one week ago, diagnosed with strep throat, and given a prescription for ampicillin. However, the caregiver is concerned because the symptoms have […]