A chubby 6-month-old boy is noted by his father to have a “small” penis. He has been growing well and appears to be healthy otherwise. Which of the following is the most appropriate first step in management of this child?

  1.  Surgical consultation
  2.  Evaluation after retracting the skin and fat lateral to the penile shaft
  3.  Ultrasound for uterus and ovaries
  4.  Weight loss
  5.  Serum testosterone levels

the answer is below…

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