Christian Medial Fellowship
Printed from: https://www.cmf.org.uk/resources/publications/content/?context=article&id=459
close
CMF on Facebook CMF on Twitter CMF on YouTube RSS Get in Touch with CMF
menu resources
ss nucleus - winter 1993,  Differential Diagnosis 6

Differential Diagnosis 6

2 Samuel 4:4, 9:1-12

Mephibosheth, the five year old son of Jonathan, was dropped by his nurse as she was fleeing on hearing the news of Saul's and Jonathan's death (2 Sa 4:4). As a result he became 'crippled in both feet', a condition which persisted into adult life. We are not given much specific detail about his degree of disability. Mephibosheth described himself to David as a 'dead dog' (2 Sa 9:8), but was capable of bowing down (v6) and therefore also probably walking.

In a young child the most common bony injury of the distal lower extremities sustained by falling from a height is an epiphyseal fracture of the ankle. If not correctly reduced, and the facilities would not have been available for this, the outcome would be malunion and persisting deformity. Ligamentous injuries and fractures of the tarsals and phalanges would be more likely to heal spontaneously, and tarsal fractures and dislocations, although possible alternative explanations are far less common.

Therefore, Luke's preferred diagnosis is bilateral malunited SalterHarris Type 2 epiphyseal ankle fractures. More importantly, David's treatment of Mephibosheth is an excellent model for our own attitudes toward the handicapped.


Differential Diagnosis 7

Under Old Testament Law a woman who was suspected (but not proven) to be guilty of marital infidelity was to be brought to the priest and made to drink 'bitter water'(Nu 5:11-31). If innocent, she would be cleared of suspicion because nothing untoward would happen (v28). However, if she was guilty, the Lord would cause her 'thigh to waste away' and 'abdomen to swell' (v21) and render her infertile.

What pathological processes could account for these clinical features? Which is most likely?

Luke's opinion in next issue.

Christian Medical Fellowship:
uniting & equipping Christian doctors & nurses
Facebook
Twitter
YouTube
Instgram
Contact Phone020 7234 9660
Contact Address6 Marshalsea Road, London SE1 1HL
© 2024 Christian Medical Fellowship. A company limited by guarantee.
Registered in England no. 6949436. Registered Charity no. 1131658.
Design: S2 Design & Advertising Ltd   
Technical: ctrlcube