Marisha Agana

TL;DR: This discussion reflects on concepts of obesity in children and adolescents in the early 21st century and includes reflections on its history, definition, epidemiology, diagnostic perspectives, psychosocial considerations, musculoskeletal complications, endocrine complications and principles of management.

TL;DR: It is important that PCPs' comfort to recognize early signs and symptoms is important to initiate appropriate diagnostic and therapeutic interventions, and be able to make appropriate referrals.

TL;DR: Current concepts of evaluation and management for transgender persons with emphasis on hormonal therapy (i.e., puberty blockers and gender affirming hormone therapy) and other management issues are briefly considered including gender confirming surgery and changes in the face as well as voice.

TL;DR: A stepwise approach to asthma management is discussed that includes pharmacologic and non-pharmacologic strategies in the pediatric population and the role of immunotherapy and use of various immunomodulators are considered.

TL;DR: There is considerable psychosocial stress as Christa is estranged from her father, who is not supportive of her transition, although mother is, and she is dependent on her father for medical insurance coverage, and he is refusing to give authorization to proceed with the evaluations and diagnostic workup for the transformation.