Concluded Case

How we proceed....

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Concluded answer
I. Appreciate all the answer...all the answers are correct.... But this child final diagnosis is - B- cell ALL... In Acute Leukemia about 10 to 20 % child presented with only musculoskeletal problems. ..no fever at all . ..... So in case of long term musculoskeletal pain we always periodically work up.... Because some time disease may be in evolving phase... Thanks.....
All Answers
I. Appreciate all the answer...all the answers are correct.... But this child final diagnosis is - B- cell ALL... In Acute Leukemia about 10 to 20 % child presented with only musculoskeletal problems. ..no fever at all . ..... So in case of long term musculoskeletal pain we always periodically work up.... Because some time disease may be in evolving phase... Thanks.....
Growing pain. Non specific inflammatory pain. R/0 leukemia.
D/D JIA Rickets Muscular dystrophy
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Growing pain
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Growth pain
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Mostly growing pain.... But rule out other pathological causes..
Growth pain required muscular loss of power
Growing pain calcium syp
? Growth pain ? Dystrophy