Benign vs malignant leg pain

Question 1

benign vs malignant leg pain at night

Answer 1

benign - wakes suddely w cramp like pain
-returns to sleep with simple measures

malignant- unable to sleep - pain unremitting

Question 2

benign vs malignant leg pain initial managment

Answer 2

benign
- resolves w simple measures like pains, returns to sleep with simple measures

malignant-
- deep boring pain
-unresponse to simple measaures or simple pain releif medication

Question 3

benign vs malignant leg pain function

Answer 3

benign - returns to nromal the next day

malignant - functional impact/loss of function/altered function

Question 4

benign vs malignant leg pain site

Answer 4

benign - often bilateral or changes site on differnet occasions

malignant- unilateral , same focus

Question 5

benign vs malignant leg pain age of patient

Answer 5

benign - usually primary scholl age kids

malignant
-tumours- more often adolescent
leukaemia- any age
Neuroblastoma- pre-school

Question 6

benign vs malignant (6) leg pain examiniation

Answer 6

benign- examination normal

malignant
- area of pain/tenerness on examation
-mass on examination (boen tumour)
-metaphyseal tenderness (marrow infiltration)
postural shift- child alters how they sit/stand/dress/walk

neurological features
systemic features - weight loss, fever, bruisoing, anaemia

Question 7

benignleg pain investiagions

Answer 7

benign - investigaitons normal

Question 8

bone tumour investigation findings 2

Answer 8

x-ray changes

acute phase response

Question 9

Acute lymphblastic luekaemia investigation findings 2

Answer 9

signs of marrow failure

infiltration on blood film (may not alwasy be present)
-increased acute phase response

Question 10

neuroblastoma investigation findings 3

Answer 10

evidence of marrow infiltration

metastatic tumour on imaging

urinary VMAs and HVAs (catecholamine products)