12 your old male with osteosarcoma distal femur
Step 2: Perform an Examination
Know the relevant examination in a child with this history
Some bone pathologies can be associated with skin changes such as Café-au-Lait spots. There are none present in this patient.Close
Hip pathology often presents as knee pain in adolescents. A Slipped Capital Femoral Epiphysis, which commonly presents in boys in this age group, often presents with knee pain so it is important to examine the hip. Hip examination in this patient is normal.Close
Lymphatics can be swollen in tumours or infections so it is important to examine these. The lower leg drains predominantly through the inguinal nodes. Lymph Node examination is normal in this patient.Close
Look: There is a clear swelling just below the knee.
Feel: The swelling is firm and feels warmer than the surrounding area.
Move: The knee has a reduced range of movement due to pain.
Special Tests: The knee is stable and there is no effusion.Close