A child with groin swelling
This case study presents a 14-month-old toddler who was normally fit and healthy. He had been generally miserable for two days and was suffering from a fever. His parents had noticed a swelling in his groin two hours earlier. His immunisations were up to date. He was referred to the local hospital's accident and emergency department from his general practice.
On arrival at hospital, his observations were stable, with a pulse rate of 123/minute, temperature of 36.7°C, and oxygen saturations of 100 per cent in air; he had a normal systemic examination.