Solve exciting clinical cases specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge! Case presentation A 3.5 kg female was born through a cesarean section to a 32-year-old mother, gravida 2, para 0, aborta 1, at the 39th week of gestation.
An unremarkable prenatal course with membrane rupture just before birth was reported. The Apgar scores were 9 at 1- and 5-minutes post-birth, respectively. Clinical examination Swelling and tenderness in the right lower extremity from toes to the inguinal crease at day two post-birth The leg was warm and tender to touch The right toe revealed a 2-mm flat erythematous spot Diminished right femoral pulses Radiological investigation MRI scan of the knee showed a periosteal elevation, anterior and posterior to the distal femur (arrows in the cover image a) An ultrasound…