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The patient is a 10-month-old child who presents with the parents, upon referral by the pediatrician, with a history of three days of pain but no history of trauma. The child refuses to stand, presumably due to pain, and resists crawling.

View the x-ray taken and consider what your diagnosis and next steps would be.

10-month old child with 3 day history of pain

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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