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Evaluation of a Child with a Limp

Total Credits: .75 including 0.75 AOA Category 2-A Credit

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OPSC - California
Anne VanGarsse, MD
48 Minutes
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Pediatric limp is a very common and challenging patient presentation.  Possible etiologies include everything from simple non-injurious trauma to malignancy to life threatening infection.    The consequences of missed diagnosis and delayed treatment can be devastating and disabling for child with an emergent illness causing their limp.  The clinical presentation, laboratory and imaging findings and initial treatment will be discussed for the most common causes of limp, as well as the not-to-be-missed causes.  The diagnoses of  slipped capital femoral epiphysis, Legg Calve Perthes disease, Osgood Schlatter disease, septic arthritis, toxic synovitis and osteosarcoma will be discussed, with discussions around differentiating among them.  Initial and terminal treatment as well as appropriate referral will also be discussed.

Learning Objectives:
1.  Physicians will appreciate the importance of patient history and physical exam findings in the evaluation of a child with a limp
2.  Physicians will be able to differentiate among the common etiologies of a child having a limp
3.  Physicians will be able to discuss the appropriate laboratory, radiologic and therapeutic modalities for a child with a limp

Disclosures: None Reported 

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the American Osteopathic Association (AOA). The Osteopathic Physicians and Surgeons of California (OPSC) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. 

Grievance Policy: OPSC strives to provide continuing medical education programs to fulfill the needs of the attendees and to meet the AOA Uniform Guidelines and AOA Accreditation Requirements. Comments, questions, or complaints should be forwarded to OPSC, by calling the OPSC Office at 916-822-5246 or by email to



Anne VanGarsse, MD Related seminars and products

Dr Anne VanGarsse serves as the Associate Dean for Clinical Affairs, Community Engagement and Population Health at California Health Sciences University, where she is also an associate professor of pediatrics and pharmacy.  In prior roles, she has served as a vice chair of primary care, an assistant dean of clinical affairs, and as the Chief Health Officer for a Federally Qualified Health Center in Olathe, Kansas.  Through her work in medical education and a community health center, she strove to combine medical student education into safety net medicine, to instill a passion for safety net medicine in future physicians.
A board certified pediatrician by training, Dr VanGarsse received her BS in Biology from Rockhurst University and her MD from St Louis University, where she also completed her pediatric residency. Upon residency completion, Dr VanGarsse practiced in the private sector for 11 years, before returning to her native Kansas City to pursue an academic career.  Dr VanGarsse recently obtained the prestigious Certified Physician Executive (CPE) designation.  She is also a graduate of University of Kansas Medical Center Community Health Center Executive Fellowship.  
Dr VanGarsse has a passion for incorporating all the tenets of health system science into medical student education, with an overall goal of improving the health outcomes of underserved patients.  
Dr VanGarsse additionally serves as a member of the American Medical Association, the American Academy of Pediatrics, is a diplomate of the American Board of Pediatrics, for which she served as a member of the standard setting panel in 2017, and a member of the American Association for Physician Leadership, as well as other academic and pediatric organizations.  



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