SDMRad

Clinical details

A 2-year-old female child with

• Global developmental delay and

• Failure to thrive

presenting with h/o

• Fever since 4 days

• Swelling of left knee since 1 week

• Past h/o perinatal anoxia

 

On Examination:

• Child irritable

• Semi-flexed posture of left leg

• Swelling and tenderness over left knee

• Systemic examination: No abnormality

​

Laboratory findings:

• Alkaline Phosphatase -316 IU/L    Ionised Calcium-4.67 mg/dl

• Total calcium-8 mg/dl               Magnesium-1.6 mEq/L

• Phosphorous-4 mg/dl                Potassium-3.81 mmol/L

• Chloride-103 mEq/L                 Sodium-135 mEq/dl

• Hemoglobin-13 gm%                 PCV-40.1 %

• Peripheral Smear – Normocytic normochromic anemia with lymphopenia

​

Radiological Investigations

                         Radiograph of the Left Knee

                                 

                     AP                               Lateral 

 

 

 

​

​

​

​

​

​

                              

​

​

​

​

​

​

 

 

 

 

 

 

​