Module 26, General Medical Level

This male child presented at age 3 years with multiple cafe-au-lait spots larger than 1.5 cm and nodules especially on the left flank. The mother was not very concerned but a public health nurse brought the mother and child for an examination.

Question 26A

The mother probably has the same skin lesions and nodules.

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Question 26B

After the history and physical an MRI of the brain is the next indicated test.

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Question 26C

A careful eye examination is also indicated.

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Question 26D

Learning disabilities may be associated with this presentation.

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Question 26E

This child should be closely evaluated for hip dislocation.

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