Module 70, General Medical Level

This 7 year old male presented to the cerebral palsy clinic with mild development delay, hyperactivity, and kyphosis. On physical examination he was slightly small for age (5th percentile weight for age, 10th percentile height for age) and had hyperactivity. He had no clonus or spasticity but a slightly clumsy gait.

Question 70A

Further history is an important element in deciding if further work up is indicated.

Question 70B

Based on the x-ray a further evaluation should include a work up for osteogenesis imperfecta.

Question 70C

A full evaluation for growth failure is indicated.

Question 70D

A careful family history should be obtained from this boys parents.

Question 70E

These changes on the spinal x-ray suggest a high probability of a malignant process.