There Is An Egg In My Thigh

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There Is An Egg In My Thigh - Page #1

Author: Joseph Chin, MD Co Author #1: Quincy Wang Co Author #2: Bernadette Pendergraph Senior Editor: Drew Duerson, MD Editor: Moira Davenport, MD Patient Presentation: A 16 y.o. soccer player presents with anterior thigh pain. Six days ago he felt sharp anterior thigh pain after kicking a ball during warm-up. His pain was moderate at that time and he noted an egg-like swelling. He tried ice and compression as well as essentially stopping practices without any improvement in his symptoms. He denied fevers, weight loss, or family history of cancer. History: The patient has no significant past medical history. He has been playing soccer for 12 years and sustained no previous injury that limited his playing time. He currently plays for his high school team in the fall and a travel club in the winter, spring and summer. He reports approximately 2 inches of growth in the last year. Physical Exam: Patient is awake, alert and oriented in no acute distress. Neuro exam remarkable for a non- antalgic gait. Extremity exam is notable in that he is able to squat single and double legged without pain. Knee extension strength was full without pain. Skin exam did reveal visible induration of the mid-anterior thigh that was tender to palpation Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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