A 2-year-old male presents to clinic with his caregiver stating that "he slipped and fell running on the hardwood floor with the dog.". He cried immediately and refused to bear weight on his left side
X-rays were taken in the emergency room of his hip, knee, and ankle. The report was negative. The caregiver states that he is still uncomfortable and is not walking on it. Laboratory tests were done and came back negative for elevated ESR, CRP, and CBC. Upon physical examination, he has pain and immediately withdraws his leg on palpation of his anterior tibia shaft. He says "ouchie" and "no hurt my leg.". Your knowledge and the exam would lead you to diagnose the child with which of the following conditions? 1. Juvenile Idiopathic Arthritis
2. Toddler's Fracture
3. Hip Dysplasia
4. Sprained ankle
2
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1. A toddler's fracture is not typically visible on initial X-rays, but point tenderness on the tibia shaft and refusal to bear weight would be common in this age group following a witnessed injury.
2. A toddler's fracture is not typically visible on initial X-rays, but point tenderness on the tibia shaft and refusal to bear weight would be common in this age group following a witnessed injury.
3. The hip dysplasia would be notable with one hip higher than the other or a click when examined.
4. A toddler's fracture is not typically visible on initial X-rays, but point tenderness on the tibia shaft and refusal to bear weight would be common in this age group following a witnessed injury.
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