Approach to connective tissue disorders Quiz: Ace Your Exams
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A 10-year-old boy is brought to the clinic for frequent joint dislocations over the summer break. The patient has not had frequent fractures, joint pain, vision problems, headaches, or fever. Family history reveals that the paternal grandfather had extremely flexible joints. There is no significant past medical or surgical history, and the child does not take any medication. Temperature is 37°C (98.6°F), pulse is 80/min, respirations are 21/min, blood pressure is 115/76 mmHg, and oxygen saturation is 98% on room air. Height and weight are at the 35th percentile for age. On physical exam, multiple bruises and scars are seen over both lower legs and knees. Cardiopulmonary exam is unremarkable. Which of the following additional physical exam findings is most likely to be seen in this patient?
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