University of Hawaii
Integrated Pediatric Residency Program

Case 2

You are seeing a new 3 year old child in your clinic for a routine WCC.  The findings on history and physical exam are normal, except you discover severely delayed expressive language.  The parents don’t agree with you about the child’s development, and actually feel that their child is developing appropriately and is more advanced than expected for his age.

Questions to think about/discuss:  

1. What are the problems in this case?
2. What medical home principles need to be addressed in this case?
3. How would you communicate your diagnosis to this family?
4. How would you demonstrate compassion to this family?
5. What outside agencies or individuals would you call?

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