A 7-Year-Old Girl with Limping and Leg Pain.

Savasta, Emanuele; Fera, Alessandra Vincenza; La Mendola, Samuele; Aschieri, Carola; Robasto, Francesca; Licciardi, Francesco; Del Monte, Francesco; Fagioli, Franca · NEJM Evid · 2026

case_report · Level V

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Abstract

AbstractMorning Report is a time-honored tradition where physicians-in-training present cases to their colleagues and clinical experts to collaboratively examine an interesting patient presentation. The Morning Report section seeks to carry on this tradition by presenting a patient's chief concern and story, inviting the reader to develop a differential diagnosis and discover the diagnosis alongside the authors of the case. This report examines the case of a previously healthy 7-year-old girl who presented with leg pain and a limp for 6 weeks without any preceding trauma. Using questions, physical examination, and testing, an illness script for the presentation emerges. As the clinical course progresses, the differential is refined, a diagnosis is achieved, and a management plan is developed.

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