Palpation on the medial bony prominences

Reference no: EM133724925

Question

A 20-month old girl, new to your practice, is brought in by her mother because she's been crying and not walking for the past day. Her mother reports that the child is "very clumsy and falls a lot." She says that the little girl may have injured her leg by falling off the sofa because, she repeats, "she really is clumsy and falls a lot." Upon review with the mother, she sates that the child has no significant medical history and takes no medications regularly. There are two older children in the family, ages 4 and 6 years, who are in good health but also are "clumsy and forever hurting themselves." The husband lives in the home. Without any questioning or prompting the mother states that her husband is "a good man but he's under a lot of stress." You ask the mother to undress the child for an examination and she quickly replies. "Do you really have to undress her? She is very shy. "You politely, but firmly, say that you need to examine her and she removes the child's pants. You see that her right knee is visibly swollen and tender to palpation on the medial bony prominences.

Reference no: EM133724925

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