[Verified Answer]: Gianna is a 6 1/2 year old female with, no…

Gianna is a 6 1/2 year old female with, no significant past medical history, with presents to your office with a chief complaint of “belly pain” for the past three months. She notices the pain is worse when she lays down at night after she eats dinner, and she describes it as a “burning, burping” sensation. When you ask where the pain is located she points to her epigastric region. She notices red sauce, with spaghetti being her favorite meal, makes it worse. Her mother is concerned because she has not been eating as much, she thinks possibly related to her fear of having the pain and also the stress of the new school year. Her current weight is 36 lbs and her height is 48 inches. Her physical exam is normal. 1. Document the patient on the age appropriate growth curve and calculate her BMI. What percentile does she fall on for weight, height, and BMI? Interpret these. 2. What are your top five differentials? List in order the most likely to the least likely. 3. What would your treatment plan be for this patient, focusing on the non-pharmacologic? What education would you provide to the parents?