MUSCLE SYSTEM: ALL CASE STUDY RESPONSES MUST INCLUDE CITATIONS

Mr and Mrs Worriesome became concerned about their 4 year old son, Tom, when they noticed that he was not able to manipulate his environment nor was he socializing like his Pre-K friends. For example, he was usually clumsy and would often fall for what seemed like no reason. He had difficulty sitting, standing, and has developed a waddling walk (gait) at times. He would grab things from his friends and sometimes even bite them. Tom has also complained, increasingly,about stomach cramps and has sometimes refuses to eat. This of course has led to some weight loss.

These changes were becoming pronounced much so that they became apparent to Tom's teachers. The teachers met with Tom's parents to share their observations. They were most concerned that Tom, had difficulty climbing stairs and the Monkey bars on the playground. They explain that he would sit and then use his hands and arms to climb most of the way. They were also afraid he would hurt himself or the other students, so he has to be monitored constantly. The teachers made reference to the fact that Tom rarely eats his lunch because of what he describes as stomach aches.

After the meeting, the Worrisomes decided it was time to take Tom to his pediatrician, Dr. Childs. Before they were able to make their appointment date, Tom developed a nasty respiratory infection, which was later diagnosed by Dr. Childs as pneumonia. The pediatrician did a detailed history of the events and symptoms. He then requested some basic tests. When the results came back, Tom's pediatrician referred him to neurologist, Dr.Foot. Dr. Childs indicated then that Tom might eventually have to see a cardiologist, pulmonologist and physiotherapist.

Dr. Foot immediately noticed Tom's poorly developed muscles. He then ordered some additional neurological tests. A week later, Dr. Foot explained to Worriesomes that Tom's symptoms, test results and his obvious muscles wasting and weakness were all pointing him towards one diagnosis.

Using your knowledge of skeletal and muscle systems, explain clearly, accurately and briefly:

1. What do you think is the "one diagnosis" that Dr. Foot will be giving to the Worrisomes? Explain your choice. Your answer should be logical accurate and supported by information provided in the case study.

2. List and explain any two systems (other than muscular and skeletal) that will be directly affected by this disease.

3. Why do you think Tom will eventually have to see a cardiologist, pulmonologist and physiotherapist? Explain the relationships between the muscle systems and each specialist.

4. Describe two things that might be done to help relieve or alleviate some of Tom's symptoms.