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infection abx. EXAM how it presents.OLDER KIDSTeste torsion- Doppler, unilateral teste pain, absent cremaster reflex. Scrotal edema, redness. Precocious puberty before 8 / delayed if no breast development by 12 y. (FEMALES)Precocious puberty before 9/ delayed if no testicular/scrotal growth by 14 years (MALES)Primary amenorrhea: NO menarche by 15 y. with or w/o secondary sex characteristics. Osgood-Schlatter: knee pain in young adults, overuse. Repetitive stress pain, tenderness, swelling at the tendon’s insertion site. The tibial tuberosity. Rule out avulsion fracture if there is an acute onset and order a lateral xray. RICE. Usually stops when the growth stops. EXAM Legg-calve perthes disease: aseptic/avascular necrosis of the femoral head. Could be due to vascular disruption. Insidious onset of KNEE PAIN that migrates up to the groin. AFEBRILE. Positive Trendelenburg’s test. Slipped capital femoral epiphysis – spontaneous dislocation of femoral head. Pain in groin that is referred to the knee. Unable to properly flex. No ambulation is permitted cuz this will cause irreversible damage. Could be due to puberty or hormonal changes. U will have a shortening of the leg with this. Klinefelter syndrome- More female traits in males cuz they got an xtraX. Turners Syndrome- Females with ONLY ONE X. Webbed neck, lymphedema. Short stature.