Pediatrics Recalls By Subject – Orthopedics

A 15-year-old girl with hypothyroidism and obesity complains of limp and left hip pain for the past 3 weeks following an injury during sports lesson. The pain radiates to the knee, occasionally wakens her up from sleep, and worsened during the past two days to the level that she needs support in walking. The physical and imaging findings are below.

What is the most likely diagnosis?

On routine examination of a 1-month old infant, you notice asymmetrical lower limb folds. Barlow and Ortolani tests are positive.

Which of the following is a risk factor of this condition?

A 15-year-old overweight girl presents with 3 weeks of limping and left thigh pain. She reports left thigh pain which radiates to the left knee, which sometimes wakes her from sleep. She reports worsening of the pain over the last 2 days, necessitating her to walk
with support. She denies fever, weight loss, or night sweats. Examination reveals no swelling or erythema over the joints, and a normal physical examination except the findings in the photo below. X-ray is below.

Which of the following is the most likely diagnosis?

A 16-year-old health active basketball player complains of worsening pain of the right knee, which increases during exercise. Examination is positive for tenderness and swelling of the tibial tubercle, with no local warmth, or fluid on ultrasound.

Which of the following is the most likely diagnosis?

A 15-year-old male arrives due to a rash on his face for the past two months
accompanied by muscle pain muscle weakness, pain and swelling in his right knee. Blood test results are described in the table:

Based on these data, what is the most likely diagnosis for this young man?

During an examination of a 1-month-old baby, you notice asymmetrical hip folds, and positive Ortolani and Barlow maneuvers.

Which of the following is the test of choice to determine the most likely diagnosis?

A 6-year-old female arrives to the ER due to sudden-onset right hip pain, a week after a mild febrile illness. On examination, she avoids moving the leg, and the pain worsens with attempts to bear weight. Laboratory tests, including blood count and CRP, are within the normal range. Ultrasound reveals a small amount of clear fluid in the hip joint.

What is recommended treatment for the child’s likely diagnosis?

You are examining a newborn with the findings described in the image. Background: born to a mother who suffered from diabetes during pregnancy, with a birth weight of 5,200 kg, vaginal birth.

What is the most appropriate treatment for his condition?

A 15-year-old overweight girl is known to have hypothyroidism and obesity. She presents with a limp and left hip pain following an injury in sport class 3 weeks earlier. The pain radiates to the knee, occasionally wakes her from sleep, and has

worsened over the last 2 days. She walks with support. Physical examination and imaging findings are presented in the pictures

Which of the following is the most likely diagnosis?

Physical examination of a 14-year-old girl revealed the findings in the attached picture.

Which of the following will contribute the most to the diagnosis?

A 14-year-old female, presented at the clinic due to lameness and pain in the groin area on the right side for about a month. Physical examination: lame with limitation in internal rotation of left leg.
In imaging, the following finding was demonstrated.

Which of the following is a risk factor for her disease?

A 16-year-old female was examined due to pain in her right leg during physical activity. In her examination, sensitivity in the lateral and medial aspects of the patella and the finding seen in the image (below). Normal anterior drawer test. X-rays of the knee and hip joint showed no abnormal findings.

What is the likely diagnosis?

A 14-year-old female was examined due to pain in the left thigh and a fever of up to 38.5 degrees. On examination: tenderness in the distal left thigh area, with local swelling, cannot bear weight. In an anamnesis about two years earlier, she was hospitalized due to similar complaints. She was treated with antibiotics at the time and sterile cultures. In current blood tests: CRP – 2.5 (normal value – up to 0.5), the rest of the laboratory is normal. Which of the following pathologies accompanies the presumed diagnosis of the girl?

An 8-year-old male presents with chronic hip and knee joints pain, especially after intense sports activity, with gradual worsening over the past week. Physical examination reveals limited range of motion of the left hip joint, especially for internal rotation The child is afebrile and has no additional symptoms.
X-ray images attached.

What is the initial treatment recommendation for the most likely diagnosis?

A 14-year-old male basketball player presents with bilateral knee pain localized below the patella. The pain worsens when running and jumping. Examination revealed the finding in the image.

What is the primary treatment recommendation

A 4-year-old girl complains of pains and limited mobility of right hand after her older brother pulled her hand in a sudden manner. Examination: drooping right hand. No evidence of fracture on X-ray. What is the most likely diagnosis?

A one year and nine month-old boy is brought to the doctor’s office for examination because he has not started walking yet and he is also not standing independently yet. Background: two episodes of long-bone fractures due to minor traumas. Examination: the findings in the image and also joint hypermobility. No findings are suggestive of abuse.

Which of the following diagnoses is the most likely?