Multisystem Processes & Disorders

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This 1 year old boy was diagnosed with severe hemophilia just a couple of months ago, and has experienced multiple bleeding complications since then.\n\nConsidering the history and examination findings, he has most likely developed a hemarthrosis of the right elbow, following impact of the joint on the floor.\n\nNote that the joint swelling might also be due to an associated fracture, or because of formation of an overlying hematoma; plain radiographs are essential for differentiation between these possibilities.\n\nHowever, the x-rays films reveal a surprising and disquieting finding - a bucket handle fracture of the right distal humerus.\n\nNote that a bucket handle fracture is a classic metaphyseal fracture at the end of a long bone; this is typ"}]}

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