A 7-year-old male presents for a well-child visit. You note his height is at 75th percentile and weight is at greater than 95th percentile for age. His examination is otherwise normal. His father is overweight but his mother is thin. Which of the following is the most appropriate next step for you to take?
(A) obtain T4 and TSH levels
(B) order serum chromosomes
(C) refer to an endocrinologist
(D) place on a diet of 75% of caloric needs for height
(E) counsel the family on increasing exercise and eliminating target foods from diet
(A) obtain T4 and TSH levels
(B) order serum chromosomes
(C) refer to an endocrinologist
(D) place on a diet of 75% of caloric needs for height
(E) counsel the family on increasing exercise and eliminating target foods from diet