Common Pediatric Neurological Musculoskeletal Conditions Unit 12

A 9-year-old female presents in your clinic with a complaint of frequent headaches over the last 2 weeks. She describes the headache as dull and throbbing, waxing and waning throughout the day, 3-4 days a week. She denies recent falls or injuries to head. Denies visual changes, ear pain, sore throat, nasal congestion, fever or chills. She also denies neck pain. she reports not getting headaches before. Mom reports giving her Tylenol, that does not seem to help much. There hasn’t been a change in diet or weight. What additional information would you want to collect? How would you manage this case? What family education would you provide.
A mother notes that her 18-month-old’s right foot is “curved,” and the curving has worsened during the last 6 months since the toddler began walking. Physical examination reveals SEE PICTURE. The defect can be straightened by applying lateral pressure to the anterior foot. What additional information would you want to collect? What management do you initiate? The grandma told the mother that placing the child’s shoes on the wrong foot would fix the problem. How do you respond?

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