Fever and leg pain in a 3-year-old girl
Emergency DepartmentDerya Arslan · 3yo female · CC: Fever and leg pain
History
0/8 key findingsAsk the questions your differential demands — not just the ones the case volunteers. Every diagnosis you intend to list owes you one discriminating question.
CASE SETTING: EMERGENCY DEPARTMENT
Derya Arslan, a 3-year-old girl with 4 days of fever and progressive left leg pain
Vitals
Opening
Derya Arslan, a 3-year-old girl, is brought to the Pediatric Emergency Department by her mother, Aylin, for four days of fever and worsening left leg pain. Since this morning she has refused to stand or walk at all. Derya is clinging to her mother on the exam bed and begins crying whenever anyone approaches her left leg. Her mother is anxious and ready to answer your questions.
Triage note
3-year-old female brought in by mother for 4 days of fever up to 102.2°F at home and progressive left lower extremity pain. Refusing to bear weight today. Weight 14.5 kg (50th percentile).
From the mother
"Four days ago she started running a fever and limping a little on her left leg. Yesterday she wouldn't walk to the kitchen, and today she cries if I even pull her pants over her left thigh."
Derya Arslan · 3yo female
Lying still in her mother's lap, tearful, guarding her distal left thigh and refusing to stand