paeds761
A 10-year-old boy was sent for an x-ray of the leg because he was complaining of pain and swelling. The x-ray showed the classic sign of Codman’s triangle. What is the most likely diagnosis of this patient?
Archives: MRCPCH FOP/TAS
paeds762
A 13-year-old boy’s mother notices he has a lump in his arm, near his right shoulder. An X-ray reveals a lateral projection in the metaphyseal region of his humerus. The lesion is removed and it is found to be composed of bony cortex, capped by cartilage. What’s the most likely diagnosis in this case?
paeds763
A 13-year-old girl has complained of pain in her left arm for 4 months. An X-ray reveals a mass along with erosion of the affected humerus. Histologically, the tumour is found to be formed by small, round, blue cells. What is the most likely diagnosis?
paeds764
A 12 month old baby boy is taken to the office with a history of failure to thrive. He is observed to have a large head and to be small for his age. A cupped appearance of the epiphysis of the wrist is seen on the x-ray. Which condition is this linked to?
paeds765
A 13-year-old boy’s mother notices he has a lump in his arm, near his right shoulder. An X-ray reveals a lateral projection in the metaphyseal region of his humerus. The lesion is removed and it is found to be composed of bony cortex, capped by cartilage. What’s the most likely diagnosis in this case?
paeds766
A 13-year-old girl has complained of pain in her left arm for 4 months. An X-ray reveals a mass along with erosion of the affected humerus. Histologically, the tumour is found to be formed by small, round, blue cells. What is the most likely diagnosis?
paeds767
A 16 year old previously well male presents with a 4 day history of fever, lethargy and a generalized macular rash. There is no significant previous medical history and the patient has not travelled abroad either. Vitals are as follows: Temp: 38.5BP: 125/75mmHgPulse: 100/min On auscultation the chest was clear and no heart murmur was heard. Examination also reveals a non blanching widespread macular rash over the chest and abdomen. There is swelling of interphalangeal joints of both hands and feet associated with mild tenderness. Lymph nodes are palpable over the supraclavicular, axillary and inguinal areas. Abdominal examination reveals palpable mass on both right and left hypochondrium. Lab results are given below:Haemoglobin (Hb) 13.5 g/dlWhite cell count (WCC) 14.0 x 109/lPlatelets 380 x 109/lSodium 145 mmol/lPotassium 4.8 mmol/lCreatinine 89 ÎĽmol/lRheumatoid factor NegativeAntinuclear antibody NegativeAnti-dsDNA NegativeASO titre Not detectedElectrocardiogram (ECG) Sinus rhythmWhat is the most likely underlying diagnosis?
paeds768
Two boys were playing when one of them brought the forearm of the other behind his back. This resulted in a stretching of the lateral rotator of the arm. Which of the following muscles was most likely to have been involved?
paeds769
A 17-year-old boy is brought to the emergency after being stabbed in the upper arm and the median nerve is transected. Impaired function can be demonstrated in which of the following muscle/s?
paeds770
A 17-year-old presents to the physician with 2-week history of fever, chest pan, generalized stiffness, swollen wrists and fingers and lower extremity oedema bilaterally. There is a facial rash over her cheeks and palms. She complains that while combing her hair, she has started to notice hair loss. Based on these clinical findings, which of the following is the most likely diagnosis?