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What is the diagnosis? What leads you to this conclusion?

The GP diagnoses growing pains. She reassures the boy and his Mum of the diagnosis, explains that no further investigations are needed, and directs them towards Arthritis Research UK resources, which are available on their website. The diagnosis can be confidently made as the boy has a typical history, which includes no daytime symptoms, no other red flags and a normal examination. The 'rules of growing pains' must be met and any atypical features should prompt referral to the appropriate specialist.

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