12th August 2020

You are an F2 in a GP surgery. A 3-year-old boy is brought to see you by his adoptive parents

You are an F2 in a GP surgery. A 3-year-old boy is brought to see you by his adoptive parents because they are concerned that he gets up from the floor in a ‘funny way’, kneeling on all fours before getting up. On further questioning, his parents mention that he was about 20 months old when he started walking but seemed to have met all over milestones on time. You decide to test his serum creatinine kinase levels, which come back around 50 times the normal level. You refer urgently to a paediatrician. What will be their next step in management of this boy?

Select the SINGLE most appropriate option from the list below. Select ONE option only.