Not walking at 20 months

Instructions

You are a medical student on placement in the paediatric outpatient clinic. Your next patient is Flynn Gillespie, aged 20 months, brought in by his mother because he is not yet walking.

1. 1

   Take a focused history from his mother

2. 2

   Examine the child

3. 3

   Outline to the examiner:

   • Your most likely diagnosis
   • Next steps in management, including relevant investigations

• You do not need to summarise your findings to the examiner
• Please verbalise your examination; findings will be provided on request
• Flynn is represented by a manikin