08-28-2009, 04:06 AM
A 13-year-old boy is brought to the physician because of a 3-month history of left knee pain that is exacerbated by vigorous exercise. He also has had occasional pain in his right knee. There is no history of trauma. He is at the 50th percentile for height and weight. His temperature is 37°C (98.6°F). Examination shows mild swelling and tenderness of the left tibial tubercle; range of motion of the knee is full.
a) Radionuclide bone scan
b) MRI of the affected knee
c) Antibiotic therapy
d) Nonsteroidal anti-inflammatory drug therapy
e) Joint aspiration
a) Radionuclide bone scan
b) MRI of the affected knee
c) Antibiotic therapy
d) Nonsteroidal anti-inflammatory drug therapy
e) Joint aspiration