Primary care pediatric nurse practitioner notes velvety

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The primary care pediatric nurse practitioner notes velvety, brown thickening of skin in the axillae, groin, and neck folds of an adolescent Hispanic female who is overweight. What is the initial step in managing this condition? The primary care pediatric nurse practitioner notes velvety, brown thickening of skin in the axillae, groin, and neck folds of an adolescent Hispanic female who is overweight. What is the initial step in managing this condition? Performing metabolic laboratory tests Consultation with a pediatric dermatologist Prescribing topical retinoic acid cream Referral to a pediatric endocrinologist.

Reference no: EM133804451

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