question ??

[rory]

hello all ,
4 yr old girl complaining of pain in left knee joint only in morning ,which disappears during day ,since 2 days, no signs of inflammation, no signs or symptoms of rickets
what should i suspect?which investigations are most important in this case ?

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[jlm013085]

Does the pain wake her up in the morning or does she notice it when she puts pressure on it in the morning?

 

[rory]

when she puts pressure on it in the morning

 

[Winged Scapula]

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