An 18-month-old child is admitted to the hospital unit for weakness of the lower extremities. Duchenne muscular dystrophy is suspected. Which assessment finding on the admission history and physical is indicative of this disorder?
1. Infant was post-mature by almost two weeks.
2. The child seems very muscular.
3. The child walked early and without support at 10 months.
4. The child's older sister developed scoliosis in the fourth grade.
2
Rationale 1: Post-maturity is not related to Duchenne muscular dystrophy.
Rationale 2: Duchenne muscular dystrophy is also called pseudohypertrophic due to the enlarged appearance of the muscle. The pathophysiology is infiltration of the muscle fibers with fatty tissue.
Rationale 3: This finding is not indicative of Duchenne muscular dystrophy.
Rationale 4: The older sister's scoliosis is not related to MD. Duchenne MD is sex-linked recessive and affects only boys.
Global Rationale:
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