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April 12, 2024

an 8-year-old female and previously good health presents to the clinic with her mother who said she has been losing weight

an 8-year-old female and previously good health presents to the clinic with her mother who said she has been losing weight despite an increase in appetite she has also been very thirsty according to her mother the patient’s mother stays the symptoms became pronounced a few days ago when the child was suffering from cold like symptoms that have since resolved. Upon examination you know the child’s a afrebile with normal vital signs except for a mild tachycardia and tachypnea her weight has dropped 4 lb since her last visit which was for a routine physical examination 3 months ago she has a fruity odor on her breath exam is otherwise unremarkable which of the following is the next step and evaluation of the patient? a. urinary ketosis b. CBC C. liver function test D. electronic panel

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