This will be look and proceed
- “Sir patient appears to be short, I would want to measure height and plot on growth chart to confirm"
- comment proportionate or disproportionate (likely disproportionate)
- comment rhizomelic (likely) - proximal shorter than distal
- look for and comment on features of achondroplasia head to toe.
- Head - Frontal bossing, Flat nose bridge, Mid face hypoplasia
- UL - trident hands, Cubitus varus, radial head subluxation
- Spine - Hyperlordotic lumbar spine, kyphotic thoracic spine
- LL - Genu varum, tibia bowing, recurvatum
- Cervical myelopathy
- walk patient for broad based gait
- Romberg and tandem for CM in ?SED and Achon
- function - go to switch ask to turn off light.
- TRO out other causes of rhizomelic short stature
- MED, SED - offer or do trendelenberg test as hip joints affected.