The patient is a boy, age 2 years 8 months, who presents with the complaint of pain in the left leg that started five hours ago. There is no history of trauma.

On exam, the child looks well and has a temp of 98.96 degrees (axillary) and a pulse of 114. In addition, he has a WBC of 17.7, with 73.7 percent granulocytes.

The child\’s leg has no external findings. There is clear pain on movement at the hip joint. He cannot bear weight.

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

2-year-old boy with sudden pain in left leg

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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