The patient in the case study is an 8-year-old male and has three main problems: ADHD Obesity Hypertension Documentation of the young male blood pressure by the medical assistant was: Six months ago: Blood pressure was 115/68 mmHg Today: Blood pressure is 120/80 mmHg He has Acanthosis nigricans on the posterior neck and in the axillae. Answer the following questions: 1. How would you evaluate and manage a pediatric patient who has BP and BMI greater than what is expected for his/her age group? Which additional conditions would you want to screen for and why? 2. What physical exam findings and diagnostic results would be concerning to you in this patient and why? What would be three differentials in this case? 3. What are your final assessments (diagnoses) for this patient? What is your treatment recommendation and education for the patient and family? Why?Show more
