Reference no: EM133788676

Question

A 10-year-old boy presents at his primary care clinic for a physical examination for athletic participation. A review of the electronic medical record shows no serious illnesses but it does show referrals to therapy for mild gross motor delay at age 5, speech therapy at age 7, and behavioral therapy within the past year. His mother says they had trouble finding a therapist but have an appointment. She thinks sports participation will benefit his behavior. They deny any pain complaints. His current height is 60 inches (152 cm [98th percentile]), and his weight is 70 lb (42.5 kg [47th percentile]). A minimal curvature of the spine and pes planus is noted. His limb and back hair are noticeably heavier than that of most children. Sexual maturity rating is G1PH1, and testes are about 3 mL. His mother appears to be of average height, and she says the boy's father is taller than average, about a head taller than she is. What is the next appropriate step? A. Approve athletic participation and confirm that his mother intends to bring him for a well-child check around his next birthday in 7 months. Note spine examination results and tallness. Plan to review behavior.