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

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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
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3
Q

what do you do for examinarion

A

check sole of foot
swelling, effusion
asses shoes, asymmetry
neuro examination

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4
Q

signs of septic arthritis

A

presents with limping
swollen, red joint, temperature
found in knee or hip

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5
Q

what is the criteria for septic arhtiris

A

pyrexia
no weight bearing
MBC >1200
ESR>40

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6
Q

risks for osteomyelitis

A

blunt trauma

recent infection

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7
Q

septic arthritis vs osteomyelitis

A

septic can’t move, very acute onset

osteo- subacute, can move but is tender

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