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How would you evaluate and manage an 8 year old 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? This patient was brought in by parent for well child visit. Parent states that child has been performing poorly in school. On physical exam of this patient with a weight of 45 kg and a height of 1.33 m (BMI = 25.4) and blood pressure of 120/80, it is found that he has acanthosis nigricans on posterior neck and in axillae. The patient also has family history of father with high blood pressure and grandfather with diabetes. Would these physical exam findings be concerning to you in this patient and why? Describe the differential diagnosis of sensory impairment, learning disorder, and sleep disorder for this patient. Describe the final assessments of ADHD, obesity, and hypertension (diagnoses) for this patient? What is your treatment recommendation and education for the patient and family? Why? Use sources that are no more than 5 years old in APA format.
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