He Walks Funny

Jean Ivey, DSN, CRNP; Linda Wilkinson, MSN, RN, CRNP; John Killian, MD, AAOS

Disclosures

Pediatr Nurs. 2008;34(6) 

In This Article

Introduction

Peter, who is 3 years of age, is seen for his well-child visit, and his mother says that while he has done well this year, she is concerned because he continues to have a "funny" gait when walking. His mother is frustrated because the pediatrician keeps telling her it would go away, but it hasn't.

HPI: Peter began walking at age 10 months of age, but his mother said she noticed almost at once that his gait was just "different." She thought it would go away and he would become more steady on his feet as he got older, but that hasn't happened. In fact, she thinks it is worse. She denies any other symptoms, such as fever or swelling of the extremities. She says he doesn't complain of pain or stiffness.

History: Peter weighed 8 lbs. 8 ounces, and was 22 inches long at birth. His mother was gravida 4 para 4, received prenatal care from 6 weeks, and had an uneventful pregnancy. He was a footling breech birth, but was normal upon examination, fed well, and discharged from the nursery after 24 hours. Peter had one ear infection at 6 months, successfully treated with amoxicillin (Amoxil®). He received an influenza vaccination last fall and is up to date on other immunizations.

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