The Acute Limping Child Flashcards
1
Q
what is the acute limping child
A
a limp is an abnormal gait due to pain, weakness or deformity
most common cause is toxic synovitis in the hip then then leg
2
Q
what is important in the hisotry
A
duration and progression of the limp recent trauma associated pain and weakness when limp is worse interference fever weight loss drugs family
3
Q
what do you do for examinarion
A
check sole of foot
swelling, effusion
asses shoes, asymmetry
neuro examination
4
Q
signs of septic arthritis
A
presents with limping
swollen, red joint, temperature
found in knee or hip
5
Q
what is the criteria for septic arhtiris
A
pyrexia
no weight bearing
MBC >1200
ESR>40
6
Q
risks for osteomyelitis
A
blunt trauma
recent infection
7
Q
septic arthritis vs osteomyelitis
A
septic can’t move, very acute onset
osteo- subacute, can move but is tender