A 12-year-old female patient was diagnosed with osteosarcoma | Figure 1

AlissonLan

Family Medicine Resident

A 12-year-old female patient was diagnosed with osteosarcoma. After suffering a pathological fracture of the right arm due to the fall from a tree 2 meters high, one month after the incident, her parents took her to "sobar" (massage?) and then presented growth of the affected limb and severe pain.

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AP (image 1) and lateral (image 2) radiographs of the knee in a child with sudden pain after jumping on the trampoline with a parent show a nondisplaced transverse fracture of the proximal tibia. This type of fracture is the most common fracture associated with trampolines. It is caused by tandem jumping. When a heavier jumper bounces up, the trampoline recoils. If the smaller child is coming down at the time when the trampoline recoils, the force of the recoil causes considerable axial loading on the tibia and results in a fracture. This mechanism is highlighted in a classic article by Boyer, et al. #MSKMonday #MusculoskeletalMonday

two year old jumped off a toy and planted his feet just right. A little torque with the subsequent fall resulted in the image shown. The child handled it like a champ with a nice unmedicated nap after the splint was applied for transfer to a children's center.

twenty-two month old presented with leg pain. As per parents, the child was running and fell. The child was transferred to a pediatric hospital. CPS report was filed and PD was contacted. #Femur #Fracture

20 month old femur fx after tv fell on baby

Link to case details.

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patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?