Sore legs, refusing to walk

Instructions

You are a medical student on placement in the emergency department. Your next patient is Vikram Sharma, aged 7, brought in by his father because he woke this morning with sore legs and would not walk.

1. 1

   Take a focused history from his father

2. 2

   Examine Vikram

3. 3

   Outline to the examiner:

   • Your most likely diagnosis and differentials

• You do not need to summarise your findings
• Please verbalise your examination; the examiner gives findings on request and answers for Vikram
• The examiner will ask you questions at the end