During a 14-year-old's physical examination, the nurse identifies that he plays soccer and football and is complaining of knee pain when he rises from a squatting position, and difficulty with weight bearing. The nurse should suspect
a. Legg-Calvé-Perthes disease
b. Osteomyelitis
c. Duchenne muscular dystrophy
d. Osgood-Schlatter disease
D
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A Pain on activity that decreases with rest is indicative of Legg-Calvé-Perthes
disease.
B Preexisting pain, favoring the affected limb, erythema, and tenderness are
associated with osteomyelitis.
C Duchenne muscular dystrophy causes progressive generalized weakness and
muscle wasting.
D Knee pain and tenderness aggravated by activity that requires kneeling, running,
climbing stairs, and rising from a squatting position is highly significant for
Osgood-Schlatter disease. The cause is believed to be related to repetitive stress
from sports-related activities combined with overuse of immature muscles and
tendons.
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