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Pediatrics Growth, Development, and Behavior 9dca1c67

An afebrile, obese 14-year-old boy has developed pain at the right knee and a limp. Select the most likely diagnosis

A
Legg-Calve-Perthes disease
B
Slipped capital femoral epiphysis
C
Osteomyelitis
D
Septic arthritis of the hip
High-Yield Explanation
Slipped capital femoral epiphysis is a disease of unknown etiology and occurs typically in adolescents; the disorder is most common among obese boys with delayed skeletal maturation or in thin, tall adolescents having recently enjoyed a growth spurt. Onset of this disorder is frequently gradual; pain referred to the knee in 20% of cases can mask the hip pathology.

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