<![CDATA[ You are contacted by an attorney representing a client who has been charged with child abuse and whom faces loss of her child and 15 years in prison. The record indicated that the child was 4 years old and presented to the ER room with a broken arm and a broken leg. There also appeared to be multiple previous fractures. Now, you examine the child and find blue sclera, a sunken chest wall, severe scoliosis, and you observe a triangular face and prominent forehead. You confirm that there have been multiple previous fractures by evaluating the previous X-rays. This is a genetic disorder.
- What is the most likely genetic disease that this presents and why?
- What is the molecular basis of this disease?
- Before, calling the police what should the initial clinician have done?
- Write a differential of at least three (3) possible diagnoses and explain how each may be a possible answer to the clinical presentation above. Remember, to list the differential in the order of most likely to less likely.
- Based upon what you have at the top of the differentials how would you treat this patient?
- When would you allow the student back to school? Elaborate on your reasoning?
- Write three (3) differential diagnoses?
- What are some of the complications of this disease, assume that the top of your differential is the definitive?
- Assume that the second item you place on your differential is the definitive diagnosis. What are some complications of that disease?