CLIPP 17: 4 y/o refusing to walk

Question 1

Most common pathogen causing osteomyelitis

Answer 1

Staph aureus

Question 2

Peak age of septic arthritis

Answer 2

0-6

Question 3

When does transient synovitis occur?

Answer 3

Presents as acute onset joint pain without significant constitutional symptoms other than a low-grade fever. Transient synovitis often occurs during or following a viral URI

Question 4

What are the diagnostic criteria for JIA

Answer 4

pain for at least in a child <16 years old

Question 5

Most common hip disorder in adolescents?

Answer 5

Slipped capital femoral epiphysis

Question 6

What is a slipped capital femoral epiphysis?

Answer 6

posterior displacement of the capital femoral epiphysis from the femoral neck through the cartilage growth plate

Question 7

What are the symptoms of a slipped capital femoral epihpysis?

Answer 7

Causes limp and impaired internal rotation

Question 8

What is Legg-Calve-Perthes disease

Answer 8

Most commonly affects boys between the ages of 4 and 10.

Involves avascular necrosis of the capital femoral epiphysis.

Typically presents with indolent or chronic pain rather than acute

Question 9

3 risk factors for hip dysplasisa

Answer 9

female
breech birth
family hx

Question 10

4 lab tests for evaluation of septic arthritis vs transient synovitis

Answer 10

ESR/CRP
CBC
Blood culture- for potential id of infectious agent

Question 11

Treatment for transient synovitis?

Answer 11

Rest and ibuprofen

Question 12

Duration of symptoms of transient synovitis?

Answer 12

3-10 days

Question 13

Pediatric dosing of ibuprofen?

Answer 13

10mg/kg q6-8 hours PO

max dose: 40mg/kg/24 hours

Question 14

diagnosis and tx for a slipped femoral head?

Answer 14

AP and lateral x-ray followed up by internal reduction of the femoral head