Ep 13: A 12-year-old with right groin pain and a limp

Welcome to the Hyperexcision podcast. This podcast is a time-efficient alternative to the written content on the website. It supplements the exam preparation material available on the hyperexcision.com website for medical students. You can follow along with the written material on the website while listening to this podcast. If you have any comments or suggestions, email [email protected] case has a script. Clinical approach is a collection of hypothetical case discussions with questions that test the key concepts for a particular disease presentation.A 12-year-old boy was brought to the clinic with 1 1-month history of left groin pain and a limp.The pain began in his left groin and radiated to the left knee. It has been gradually increasing in intensity. It is worse with walking and relieved by rest. There is no history of trauma. He does not have pain in other joints or extremities. There is no history of recent infection, no history of fever, chills or malaise. He participates in physical education in school but is otherwise not involved in sports. He has no history of travel or camping trips and lives in an urban area. He takes no medication. There is no family history of joint problems.On physical examination, he is afebrile and appears obese. The left lower extremity is externally rotated, abducted and flexed, and he resists internal rotation. There is no leg length discrepancy. Neurologic and vascular examination is normal.