Problem
Case study
You are the clinic nurse and notice that a 10-year-old child with a history of "anxiety attacks with tachycardia is brought to the office by this mother. On examination you notice wrist hypermobility, skin elasticity, and peculiar "cigarette-paper" scars. His mother has been on the Internet and thinks her child may have Marfan syndrome or Ehlers-Danlos syndrome. She asks for your opinion.
As the nurse what resources will you turn to?
What further questions/physical finding might you pursue?
Locate referral agencies in your community who can partner with to diagnose and care for the child and his family.
Anticipate and identify genetic/laboratory test that could be ordered as part of the child's workup