Module 62, General Medical Level
A 10 year old white female was evaluated in the orthopaedic clinic
for leg length discrepancy. Her disease process has been characterized
by early breast development at 3 years of age, menarche at the age of 6,
and a pathologic subtrochanteric fracture after a trivial fall at age 8.
She now complains of a limp and pain after long walks. The patient demonstrated
a large pigmented lesion with irregular border located in the right upper
back. There was a two centimeter leg length discrepancy by the block test.
Question 62A
An x-ray of the fracture area of the femur would be very helpful in arriving
at a diagnosis.
Question 62B
The
pigmented lesion is a Cafe-au-lait spot, therefore the diagnosis is neurofibromatosis.
Question 62C
This
child is probably taller than her aged matched peers.
Question 62D
This
child is at risk for diabetes and hyperthyroidism.
Question 62E
Although
this girl has very early puberty, it will not affect her fertility as an
adult.
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