Module 67, General Medical Level

This is a 5 year and 3 month old white female was the product of a full-term normal spontaneous vaginal delivery with a diagnosis of CHARGE syndrome (defects of the eyes, ears, heart, choanal atresia (primordal oronasal opening into the brain, mental retardation, and genital hypoplasia). She presented for evaluation of a webbed neck, left side worse than right. The child has developmental delay and began walking at 4 years of age. She had undergone previous surgery for strabismus and an atrial septal defect.

Question 67A

With the head and neck congenital deformities, deformities of the scapula are common.

Question 67B

With the complaint of a short webbed neck, there should be a high suspicion for of congenital deformities of the cervical spine.

Question 67C

Considering all this girl's congenital deformities, the configuration of her neck is of little concern.

Question 67D

Congenital facial deformities are almost always related to spinal deformities.

Question 67E

This girl should also have a careful evaluation of her hips, because the short webbed neck is often associated with hip dislocation.

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