What other historical data should be gathered

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Question

Pediatric Musculoskeletal

HPI: A 2-year-old boy was brought to your clinic by his parents. The parents state the child was playing on the couch when he rolled off and cried out in pain. The father states when he touched the toddler's left leg he screams. There were no other injuries noted. You, as the FNP assessing the child, note that the child had unusually thin and translucent skin, poor dentition, bowlegs, and blue sclera.

Questions:

1. What other historical data should be gathered?

2. Is there anything in the prenatal or neonatal history that is essential to know? What additional specific questions should the FNP ask?

3. What other physical assessments should be made?

4. What diagnostic tests would you order?

5. What are the three-priority differential diagnosis (with rationale)?

6. Should the child be referred to orthopedics? To the emergency room? Why or why not?

Reference no: EM133913539

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