A 4-year-old boy presents to the clinic with his parents, wh…

A 4-year-old boy presents to the clinic with his parents, who report a fever of 103 oral for the past 2 days. During the evaluation, the patient begins to have involuntary tonic-clonic movements lasting approximately 3 minutes then returns to baseline within 2 minutes. What is the most appropriate next step in management?

A 14-month-old child presents for his first well-child check…

A 14-month-old child presents for his first well-child check. He was recently adopted from a Romanian orphanage. His parents are concerned that he appears small compared to other children his age. His weight, height, and head circumference are all < fifth percentile. He eats very well but has not gained weight since the adoption last month. He urinates several times each day and has four loose, greasy stools daily. Review of systems is also significant for a mild chronic cough. Blood and stool studies are sent. A chest film reveals mild bilateral bronchiectasis. What is the most likely cause of the child’s poor weight gain?