Slipped Capital Femoral Epiphysis

It's been a very long week or two. 

The boy I saw last week with hip pain turned out to have Slipped Capital Femoral Epiphysis.  This is a diagnosis that is easy to miss .. and I didn't know that he had it when I saw him.  The x-ray didn't show anything .. which was reassuring .. though his pain persisted .. which prompted a referral to orthopaedics. 

The orthopod ordered more views of the hip .. one of which showed the SCFE .. prompting surgery.