What is the most likely diagnosis

Reference no: EM133694070

A 4-month-old boy presents to the urgent care center for irritability for 7 days. The mother states that the child cries constantly and cannot be consoled with formula or change of diapers. She denies any illnesses, emesis, or diarrhea. He lives with his mother, stepfather, 21-month-old sister, and 3-year-old brother, all of whom have been healthy and without illness. On physical examination, the infant has right thigh swelling and tenderness. The mother denies any trauma or injury. Radiographs of the right lower extremity reveal a transverse femur fracture.

Questions

What is the most likely diagnosis? What is the next step for this child?

Reference no: EM133694070

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