Module 47, General Medical Level

A completely healthy and previously normal boy 10 years and 9 months old was noted by his parents to limp on the right side after a full day of activity. He also started to have a occasional hip pain. Since the hip pain became progressively worse, the family sought medical attention. At the first examination, abduction was 40 degrees bilaterally but internal rotation was limited to 0 degree on the right.

Question 47A

The work up should include ESR and Rheumatoid factor levels.

Question 47B

The limitation of internal rotation of the hip is common with this condition.

Question 47C

The parents need to be informed that the treatment course for this condition will go 3 to 6 months.

Question 47D

Presentation at age 11 and the fact that this is a boy are both positive prognostic factors for long term good outcome.

Question 47E

There is a well defined and universally agreed treatment protocol for this condition.

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