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Assignment:
A 13-year-old male is complaining of mild recurrent bilateral anterior knee pain without fever, joint swelling, erythema, or limitation of ambulation for the past 3 months. He is accompanied by his mother.
Physical examination revealed a well-nourished adolescent male without any acute distress. Significant bilateral tenderness was noted when palpating the tibial tubercles, and extending his knees against resistance reproduced pain. The remainder of the musculoskeletal examination was unremarkable (e.g., deep tendon reflexes, strength, and sensation). Other systems examinations were unremarkable (e.g., heart, lungs, etc.).
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