Orthopedic Presentation Funny walking kid'

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Orthopedic Presentation Funny walking kid.!

• Department of Orthopedics
• Fiji School of Medicine
• April 21, 2004

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Video of his walk in the clinic!(Click outside
the image to stop)
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Case Presentation

• 19yr Fijian male
• Funny Walking
• Right hip pain
• Fever
• Flat foot
• Reduced sensation
• Muscle Weak

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Investigations

• labarotory
• WCC mildly increased
• ESR 40mm
• Chem within normal limits.
• Imaging

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X-ray Pelvis
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Ward Progress

• I/V A/B
• pain relief
• mobilizing

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Myelogram (30/3/2004) - normal
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CT Scan Pelvis
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Biopsy (7/4/2004)
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Postop Ward Progress

• mobilising
• wound
• discharge
• 10/4/2004

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Biopsy Result (19/4/2004)

• Round-Cell (Blue Cell) Tumours
• Ewings Sarcoma
• Reticulum Sarcoma (Non-Hodgkins Lymphoma)
• Metastatic Neuroblastoma

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Ewings Sarcoma

• endothelial cells in marrow
• pain
• x-ray onion peel
• pathology
• macroscopic
• microscopic

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Where to from here?
Navuva hospital during recent floods!
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If all else fails HOPE FOR A MIRACLE!!!!