Night-time leg pain in a child

Instructions

You are a medical student on placement in general practice. Your next patient is Ishaan Kulkarni, 5, brought in by his mother, Deepa, because for the past few months he has been waking up crying with sore legs.

1. 1

   Take a focused history from his mother

2. 2

   Examine Ishaan

3. 3

   Outline to the examiner:

   • Your most likely diagnosis and differentials
   • Next steps in management, including relevant investigations

• You do not need to summarise your findings to the examiner
• Describe your examination to the examiner; findings will be given on request