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1. 13yo boy presents with a painful right foot 3 months. No injury. Onset related to cross country run. Exam findings: rigid flat foot with valgus hindfoot.
A) You should consider a likely Dx of:
i. Flexible flat foot
ii. Ankle sprain
iii. Tarsal coalition
iv. Juvenile chronic arthritris
v. Congenital vertical talus
1. 13yo boy presents with a painful right foot 3 months. No injury. Onset related to cross country run. Exam findings: rigid flat foot with valgus hindfoot.
B) TRUE/FALSE - initial management:
i. Prescribe NSAI and review in a few weeks
B) TRUE/FALSE - initial management:
ii. Refer for standing X-Rays of both feet
B) TRUE/FALSE - initial management:
iii. Refer for MRI scan of the right foot
B) TRUE/FALSE - initial management:
iv. Refer to a podiatrist for orthotics
B) TRUE/FALSE - initial management:
v. Refer to an orthopaedic surgeon.
3. 7yo girl presents with an intoeing gait. Most likely Dx?
a. Rickets
b. Internal tibial torsion
c. Excessive femoral anteversion
d. Perthes disease
e. Slipped capital femoral epiphysis
4. 4yo girl presents to you with symmetrical bow legs.
TRUE/FALSE - initial management:
a. Reassure a spontaneous correction is expected.
4. 4yo girl presents to you with symmetrical bow legs.
TRUE/FALSE - initial management:
b. Refer to a podiatrist for orthotics.
4. 4yo girl presents to you with symmetrical bow legs.
TRUE/FALSE - initial management:
c. Prescribe Vit D supplement and review in 6 months.
4. 4yo girl presents to you with symmetrical bow legs.
TRUE/FALSE - initial management:
d. Advise against W sitting.
4. 4yo girl presents to you with symmetrical bow legs.
TRUE/FALSE - initial management:
e. Investigate with bone biochemical screen and X-Rays.
