Review Question - QID 109004

A 7-year-old immigrant child is brought to the pediatrician for his first visit. The patient just immigrated to the United States and moved in with his adoptive family. The child is active and playing with the toys in the office. On physical exam, the child appears to be thin and small for his age. Inspection of his scalp is absent for lice. Examination of the head and neck reveals the findings in Figure A. On inspection of his upper extremities you notice the findings in Figure B. The child's abdomen is mildly distended and is non-tender to palpation. The child appears to be meeting normal developmental milestones, but is in the 15th percentile for height and weight. Laboratory values are obtained and are below.
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