Abstract
Articles| November 01 2001 Index of Suspicion Pediatr Rev (2001) 22 (11): 388–393. https://doi.org/10.1542/pir.22-11-388 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Tools Icon Tools Get Permissions Cite Icon Cite Search Site Citation Index of Suspicion. Pediatr Rev November 2001; 22 (11): 388–393. https://doi.org/10.1542/pir.22-11-388 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search toolbar search search input Search input auto suggest filter your search All PublicationsAll JournalsPediatrics In ReviewPediatricsHospital PediatricsNeoReviewsAAP Grand RoundsAAP NewsAll AAP Sites Search Advanced Search Topics: bone marrow, diarrhea, fever, gaucher disease, glucosylceramidase, magnetic resonance imaging, salmonella, signs and symptoms, splenomegaly, leukocytes A 5-year-old Hispanic boy presents to the emergency department having left knee pain of 1 month’s duration. Radiographs of the knee at a clinic were read as normal. There have been no antecedent upper respiratory or constitutional symptoms and no fever. He has experienced intermittent diarrhea and poor weight gain. He has been followed by a hematologist over the previous 8 months for persistent firm splenomegaly and diagnosed by serology as having Ebstein-Barr virus (EBV) infection. On examination, the child appears well but refuses to walk or bear weight on his left leg. His oral temperature is 100.4°F (38.0°C),pulse is 148 beats/min, blood pressure is 122/69 mm Hg, and respiratory rate is 32 breaths/min. His weight and height are below the 5th percentile. His liver is palpable 2 cm below the costal margin, with a span by percussion of 8 cm, and his spleen is firm and palpable 2 cm... You do not currently have access to this content.
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