Question

A 15-month-old boy is brought to clinic as he is not yet walking independently. He can stand holding on, crawl and cruise around furniture. He can say several single words and has a pincer grip. Examination is otherwise normal. What is the most appropriate management?

Accepted Answer

Reassure and review at 18 months

Answer

Urgent referral to paediatric neurology

Answer

Order MRI brain immediately

Answer

Start intensive physiotherapy without further assessment

Answer

Arrange genetic testing for Duchenne muscular dystrophy urgently

Practice question

A 15-month-old boy is brought to clinic as he is not yet walking independently. He can stand holding on, crawl and cruise around furniture. He can say several single words and has a pincer grip. Examination is otherwise normal. What is the most appropriate management?