Today I saw a child looking with cerebral palsy like this when I went to see a patient of mine. It's a huge ward with 5 residents looking after children. There is a chance this could be lymphoma. The work up yet to be started. 1/n He was obviously distressed, posturing, and pulling up his legs. He is spastic and had contractures. Oncology referral sought. What was difficult to watch was nothing was being done for the child. Let me explain. 2/n