An overweight 13-year-old male presents with a 3-week history of right lower thigh pain. he first noticed the pain when jumping while playing basketball, but now it is present even when he is just walking. on examination he can bear his full weight without an obvious limp. there is no localized tenderness, and the patella tracks normally without subluxation. internal rotation of the hip is limited on the right side compared to the left. based on the examination alone, which one of the following is the most likely diagnosis?

a. avascular necrosis of the femoral head (legg-calvé-perthes disease)
b. osteosarcoma
c. meralgia paresthetica
d. pauciarticular juvenile rheumatoid arthritis
e. slipped capital femoral epiphysis

cant see anything

explanation:

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explanation:

low context culture   (lc.):

association:    

relationships begin and end quickly. many people can be inside one's circle; circle's boundary is not clear.

things get done by following procedures and paying attention to the goal.

one's identity is rooted in oneself and one's accomplishments.

social structure is decentralized; responsibility goes further down (is not concentrated at the top).

interaction:

low use of nonverbal elements. message is carried more by words than by nonverbal means.

verbal message is explicit. context is less important than words.

verbal message is direct; one spells things out exactly.

communication is seen as a way of exchanging information, ideas, and opinions.  

disagreement is depersonalized. one withdraws from conflict with another and gets on with the task. focus is on rational solutions, not personal ones. one can be explicit about another's bothersome behavior.

territoriality:

space is compartmentalized and privately owned; privacy is important, so people are farther apart.

temporality:

things are scheduled to be done at particular times, one thing at a time. what is important is that activity is done efficiently.

change is fast. one can make change and see immediate results.

time is a commodity to be spent or saved. one’s time is one’s own.

learning:

reality is fragmented and compartmentalized. one source of information is used to develop knowledge. thinking is inductive, proceeds from specific to general. focus is on detail.

learning occurs by following explicit directions and explanations of others.

an individual orientation is preferred for learning and problem solving.

speed is valued. how efficiently something is learned is important.

hope that                                         : )