Module 46, General Medical Level
This patient is a 14 year old male weighting 105 kilograms. His systemic
exams were all within normal limits. He presents with a complaint of pain
in the knee which occurred after he slipped playing football. Examination
of his knee demonstrated full range of motion, no effusion, mild medial
joint line tenderness, and no ligament instability. Bilateral hips with
passive flexion to 75 degrees and abduction to 20 degrees on the left and
30 degrees on the right. Internal rotation was 0 degrees on the right and
-15 on the left with external rotation 70 degrees, bilaterally. Upper extremities
and bilateral feet exams were all within normal limits.
Question 46A
An MRI scan of the boy's knee should be obtained to rule out a torn meniscus.
Question 46B
Laboratory
tests should be performed.
Question 46C
At
the time of the above examination the boy should be discouraged from returning
to football until the current condition is resolves itself.
Question 46D
There
is a risk of a sudden severe injury occurring in this child if he continues
with his current activity.
Question 46E
The
above condition occurs most commonly in the spring.
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