Module 9, General Medical Level

A 14 month old child was brought by the mother because of low posterior hair line, short neck and limited neck ROM. The pregnancy and delivery were normal. The mother was also concerned because he holds his head to one side. Physical examination demonstrated an elevated shoulder on the right and very limited side bending of the neck to either side although he held his head slightly cocked to the left.

Question 9A

An x-ray of the neck is the primary imaging study.

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Question 9B

This is Torticollis and the mother should be send to a physical therapist for exercises.

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Question 9C

This is probably a congenital deformity of the cervical spine.

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Question 9D

These symptoms suggest that a kidney ultrasound should be obtained.

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Question 9E

A careful cardiac examination is indicated.

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