Limp / Extremity Pain

Clerkship

Lecture materials and small group cases are posted here for University of Calgary Cumming School of Medicine students. Access to these materials are password protected.

Objectives

By the end of the Paediatric Clerkship, a medical student will be able to:

1. Describe the components of normal gait in the paediatric population.
2. Explain the pathophysiology of bone and soft tissue injury and repair in the paediatric population.
3. Recognize the clinical features and propose a management plan for patients with osteomyelitis, septic arthritis, rheumatic fever, and post-infectious and reactive arthritis.
4. Recognize the clinical features of a bone tumor, growing pains, juvenile idiopathic arthritis, Legg Calve Perthes disease, Osgood Schlatter disease, slipped capital femoral epiphysis, and transient synovitis

Half Day Cases

• A 12 year old girl presents to the emergency department with pain in her knee. When you examine her, you note that she has a large joint effusion in that same knee
• A 5 year old boy comes to your clinic with fever and pain in his arm. You notice that the arm is swollen, warm to touch and is erythematous
• A 9 year old boy comes to the emergency department with pain in his hip and difficulty walking
• A 14 year old has come in with fever for 3 days and lethargy. She complains of pain in her knees and wrist, and you notice on examination that she has a joint effusions in those extremities as well.