Read This Excerpt from the Patient's Discharge Summary: HPI

question 21

Multiple Choice

Read this excerpt from the patient's discharge summary: HPI
Decker Macmillan is an 8-year-old boy admitted directly to the pediatric floor for workup of chronic progressive hypotonia.His parents report they have noticed progressive weakness.Decker has had increasing difficulty running, jumping, and climbing stairs.His parents initially thought his problems were due to his asthma, but they noticed that he also had a waddling gait.They took him to their primary care provider, who referred him for evaluation.On admission, Decker denied any history of myalgia, arthrodynia, or dystaxia.His problem appeared limited to muscle tone.
According to this information, which of the following is part of the history of the present illness?

• A)Decrease in muscle tone or tightness
• B)Joint pain
• C)Muscle pain
• D)Poor coordination

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Definitions:

Abyssal Plains

Very flat, deep-sea floors found at depths between 3,000 and 6,000 meters, making up a large portion of the ocean's basin.

Oceanic Fracture Zones

Linear oceanographic features caused by the movement of tectonic plates, characterized by significant variations in depth and topography.

Seafloor

The bottom of an ocean or sea, composed of various geological features including ridges, valleys, plains, and trenches, shaped by processes like volcanic activity, sediment deposition, and tectonic movements.

Mid-Ocean Ridges

Oceanic mountain chains that develop due to the movements of tectonic plates, leading to the formation of new sea floor as a result of volcanic eruptions.