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Head prominent occipital prominence hair well

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Head: Prominent occipital prominence; hair well nourished. One keloid scar present onleft forehead.Eyes: Red reflexes present; eye alignment straight by Hirschberg's sign; right eye doesn'tfollow well into superior lateral position.Ears: TMs pink; landmarks and cone of light well defined. Child's hearing comparablewith examiner's.Nose: Midline septum; patent nares.Mouth and Throat:Teeth in good repair; one1 filled cavity. Right upper central incisor isa prosthesis. Mucous membrane moist. Uvula midline.Lungs: Lungs clear to auscultation and percussion; respiratory rate: 20 breaths per minute
Heart:Heart rate: 90 beats per minute; no murmursAbdomen: No masses; no tenderness; bowel sounds present in all four quadrants;abdominal reflexes present.Genitalia: Testes descended; circumcised male; midline meatusBack: Slight lateral curvature (10 degrees) of spine, deviated to right noted; curve morepronounced on bending forward.Extremities: Arms: Full range of motion in right arm; left arm has extension of elbowreduced by 20 degrees.Hips: Full range of motion on right side; left hip has external rotation limited to 120degrees.Knees: Full flexion of right knee; left knee is 10% limited in flexionAnkles: Full range of motion on right side; child holds left foot plantar flexed.Dorsiflexion severely restricted; no clonus elicited.Neuro: DTRs: 4+ on left side; 2+ on right. Babinski: flares on left; plantar flexes on rightCranial Nerves:I Olfactory: able to identify the odor of oranges bilaterally.II Optic: has color perception both eyes; vision 20/30 bilaterally.III, IV, VI Oculomotor, trochlear, and abducens: child follows light into all fields onleft side; unable to follow to superior lateral position on right.V Trigeminal: Mastication lessened on right; sensory innervation intact bilaterallyVII Facial:Facial movement equal on both sidesVIII Vestibulocholear: child hears a watch ticking bilaterallyIX and X Glossopharyngeal and Vagus:Uvula elevates bilaterally; gag reflex intact.
XI Accessory:Poor trapeze resistance on left sideXII Hypoglossal:Tongue protrudes at midline. No tremors.Romberg: negativeFinger to Nose: Accurate on right side; great deal of difficulty on left side.Joe is diagnosed as a child with cerebral palsy awaiting heel cord lengthening.CARE STUDY QUESTIONS:

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Term
Fall
Professor
NoProfessor
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Joey Century

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