Council on Medical Student Education in Pediatrics

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COMSEP Clinical Cases

Development

  1. A fifteen-month-old boy says no recognizable words. His parents are concerned and wonder if he needs speech therapy. How would you respond to their concerns? How would you evaluate this child?
  2. An infant rolled over at four month, sat unassisted at six months, but at one year he is unable to sit alone or stand. His parents are quite concerned and ask if this is normal. How would you evaluate this patient?
  3. The parents of a nine-month-old infant are concerned because she is not sitting. She has increased tone, brisk deep tendon reflexes, and scissoring of her lower extremities. She can grasp a rattle, but does not reach for objects. She coos and has a social smile. What would you tell her parents? What important information should you obtain from the history?
  4. The parents of fourteen month-old-boy born at 30 weeks gestational age are concerned he is not walking. He sat alone at nine months and says two to three words in addition to Mama and Dada. How would you counsel these parents?
  5. The parents of a three year-old girl are concerned because their daughter has developed pubic hair. How would you evaluate this child?
  6. The parents of a three year-old girl have noticed that she has developed bilateral breast tissue. How would you evaluate this child?
  7. The mother of a ten-year-old girl wants to know when she might start her periods. What would you tell her? When would you expect her to have "regular" periods once she starts menstruating?
  8. A 14 year-old female has not started her periods. What important information should you gather from the history and physical examination?

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