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Paediatrics
intermediate
X-Type

Growing Pains in Children

Musculoskeletal Pain

A 6-year-old girl is brought by her parents because of bilateral leg pain for 3 months. The pain occurs 2-3 times per week, typically in the evening and at night, waking her from sleep. It is relieved by massage. She is active during the day with no limp. Examination is completely normal. Regarding growing pains:

Mark each as TRUE or FALSE

A

Growing pains typically affect children aged 3-12 years with peak incidence around 4-6 years; sympto...

B

Growing pains are a diagnosis of exclusion; red flags requiring investigation include persistent day...

C

Growing pains are caused by rapid bone growth; they always require imaging; the pain typically affec...

D

Management includes reassurance that the condition is benign and self-limiting, gentle massage durin...

E

Differential diagnoses to exclude include juvenile idiopathic arthritis (morning stiffness, joint sw...

Answer the questions to see explanations

Click T (True) or F (False) for each option