But, perhaps more ominously for Willett, a skeletal survey
revealed that Cassidy had a fractured wrist, which had never been treated despite being between one and six months old.
Consultant paediatric radiologist Dr Sarah Harrison was asked to look at X-rays of Elsie's chest and abdomen after she was hospitalised on May 25 and examined a full skeletal survey
carried out after she died.
The diagnosis of the EVC syndrome is done based on the history, clinical examination, and skeletal survey
of the individual.
Tests, including X-rays and a full skeletal survey
later showed the infant had fractures in his right arm and wrist as well as a further two groups of healing injuries, including fractures to his left arm.
40 (91%) had radiologically detectable abnormalities; 35 (80%) had lytic lesions, 17 (39%) had pathological fractures, 21 (48%) had generalized osteoporosis and only 4 (9%) had normal skeletal survey
showed unilateral monomelic similar like lesions involving right lower limb and right iliac bone, right humerus and radius.
2) The diagnostic criteria for extramedullary plasmacytoma are an extramedullary tumour with clonal plasma cells, the absence or low levels of serum or urinary monoclonal immunoglobulin (M protein), histologically normal bone marrow and trephine, and a normal skeletal survey
6] Since the lesions of small bones are more commonly multifocal, patients should undergo skeletal survey
to exclude similar lesions elsewhere in the body.
The association between the rate of both skeletal survey
and retinal exam practice and the presence of an MDT at a hospital was analyzed via the chisquare test.
The skeletal survey
findings were consistent with multiple hereditary exostoses.
Across all hospitals, 46% of children with suspected sentinel injuries received a skeletal survey
However, a skeletal survey
detected an oblique fracture of the radius and metaphyseal fractures of the femur and tibia, all with evidence of healing.