Limpy Boy with Hip X ray - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 03-21-2011
1TA2B's Avatar
USMLE Forums Guru
 
Steps History: CK Only
Posts: 475
Threads: 39
Thanked 353 Times in 169 Posts
Reputation: 376
X Ray Limpy Boy with Hip X ray

The mother of a 5 year old boy noticed a limp for a few days.

Here is his hip x ray shown below. What is the most appropriate treatment?

A) Chemotherapy
B) Urgent admission and antibiotics
C) Observe and limited weight bearing
D) Surgery
E) Closed reduction

Limpy Boy with Hip X ray-limpyboy.jpg
click image to enlarge
__________________
Skill+Hardwork+Preparation=Success
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.

Reply With Quote Quick reply to this message
The above post was thanked by:
healer2b (03-21-2011), Mondoshawan (03-21-2011)



  #2  
Old 03-21-2011
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 132
Threads: 11
Thanked 185 Times in 70 Posts
Reputation: 195
Default

I would say C.

Legg-Calve-Perthes disease
-MC in boys between 4 and 10
-idiopathic infarction of femoral capital epiphysis (head)
-the vascular anatomy of the proximal femur is in a transitional stage at age 4-7
-present with hip, groin, or knee pain plus an antalgic gait
tx: manage conservatively with observation and bracing, though surgery may be indicated if femoral head is not contained within the acetabulum

For a much more thorough and helpful explanation of pediatric hip disorders, check out http://www.falconreviews.com/v3/blog...hip-disorders/
Reply With Quote Quick reply to this message
The above post was thanked by:
1TA2B (03-21-2011), Mondoshawan (03-21-2011), usluipek (03-21-2011)
  #3  
Old 03-21-2011
1TA2B's Avatar
USMLE Forums Guru
 
Steps History: CK Only
Posts: 475
Threads: 39
Thanked 353 Times in 169 Posts
Reputation: 376
Default

Thanks healer2b. The link is useful.

Three main conditions repeatedly show up on the USMLE: congenital hip dysplasia, Legg-Calve-Perthes disease, and slipped capital femoral epiphysis.
__________________
Skill+Hardwork+Preparation=Success
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.

Reply With Quote Quick reply to this message



Reply

Tags
Orthopedics-, Pediatrics-, Radiographs-, Radiology-, Step-2-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)