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  #1  
Old 07-09-2011
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Rheumatology/Orthopedics Klein's Line Does not intersect the femur!

A 11-yr-old child presents with intermittent pain at hip since 3-4 wks. He also found change in his gait. He limps occasionally. Past history is significant for trauma while playing a football match. On examination same side leg appears shorter. CBX is normal, ESR raised. X ray shows Klein's line does not intersect femur.
What is diagnosis?

1. Septic arthritis
2. Juvenile idiopathic arthritis
3. Leg-calves-Perthes disease
4. Osteomyelities
5. Slipped capital femoral epiphysis

Last edited by Ace3; 07-09-2011 at 03:00 PM.
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  #2  
Old 07-09-2011
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slipped capital femoral epiphysis, also common in this age
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Old 07-09-2011
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I THINK IT IS 5.do you have the answer,
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Old 07-09-2011
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5. Slipped capital femoral epiphysis
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  #5  
Old 07-10-2011
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Quote:
Originally Posted by confident View Post
A 11 y old child presents with intermittent pain at hip since 3-4 wks. He also found change in his gait. He limps occasionally. Past history is significant for trauma while plaing a football match. On examination same side leg appears shorter. cbc is normal, ESR raised. Xray shows klein's line does not intersect femur. What is diagnosis?
1. Septic arthritis
2. Juvenile idiopathic arthrities
3. Leg-calves-perthes disease
4. Osteomyelities
5. Slipped capital femoral epiphysis
Answer is 5.Slipped capital femoral epiphysis. Change in gait, pain at hip joint..leg appears shorter..klein's line does not intersect femur on xray, history of trauma indicates answer 5 as choice.

3. This choice require xry showing fragmentation and collapsed femoral head region to diagosis
4. Osteomyelities usually shows decreased bone density or normal..this scenario does not fit
1. Should have raised wbc,cpr,esr and infection history shoul present along.
2. Rheumatoid factor is positive ,high wbc , joint fluid shows white cells and organisms positive...not option here.
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  #6  
Old 07-11-2011
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Correct Answer

5. Slipped capital femoral epiphysis
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Old 07-11-2011
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5. The answer is Slipped capita femoris
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