Dear Sir ,

Today’s class was very informative, every time something new to learn.

Few days back I had come across one of the scenarios in a Malaysian clinical exam.I do not have a video.

11 yr old girl *

Back pain, to examine back and MSK system of upper and lower limbs * Girl with scoliosis and pes planus*

Her height is at 50th centile*median sternotomy scar.

 
The candidate gave differential diagnosis of ehler danlos , marfans less likely and got full marks.

What puzzles me was where beightons score was incorporated when we’re doing the normal pgals.

the only clue I could think of was while examination of spine ask to touch the floor .

Whenever there is time , I would like if shared with class.Just something I came across ,hope it benefits.

Thank you

FF