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Radiological Case of the Month
John L. Gwinn, MD;
Fred A. Lee, MD;
James D. Pister, MD;
Donald R. Kirks, MD
Am J Dis Child. 1975;129(1):93-94.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Clinical History.—A 17-month-old girl was admitted to the hospital because of an abnormal gait. The patient had a moderate scoliosis that had been present since birth. Her previous motor development had been normal, she was sitting at 6 months, crawling at 9 months, and standing at 1 year of age. However, during the last three months, the mother had noted that the child had progressive difficulties in walking.
Physical Examination.—The patient was in less than the third percentile in both height and weight. A pectus excavatum as well as a cavitary defect in the left side of the chest wall anteriorly were noted. There was a moderate scoliosis with slight kyphosis at the thoracolumbar junction. Decreased muscular tone and weakness were noted in both lower extremities. Achilles reflexes were absent bilaterally. Results of the remainder of the physical examination were normal.
Complete blood count, electrolyte level, blood urea
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Radiology, Brooke Army Medical Center, Fort Sam Houston, Tex. Dr. Kirks is now with Children's Hospital Medical Center, Oakland, Calif.
Footnotes
Received for publication July 31, 1974; accepted Aug 6.
Reprint requests to Children's Hospital of Los Angeles, PO Box 54700, Los Angeles, CA 90054 (Dr. Gwinn).
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