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Child is febrile. Did you notice the leg swelling. What do you want to do now besides aspiration and culture?

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Septic Hip
  • Bacterial joint infection, most common pathogen is Staphylococcus aureus but Haemophilus influenzae and Group B streptococcus are also relatively common in toddlers
  • Clinical febrile, acute hip pain, limp, refusal to bear weight, may be recent history of mild trauma or illness
  • Radiography hip dislocation, echogenic joint effusion, soft tissue swelling, abcess, periarticular increased uptake on bone scan
  • DDX: toxic synovitis, trauma, chronic synovial arthritis, Legg-Perthes
  • Treatment drainage and IV antibiotics
Joint effusion
Right hip dislocation with soft tissue swelling/calcification and metaphyseal defect in the proximal femur
CT scan shows abscess around the hip joint, with calcified debris
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These signals are relayed buying clomid online safe which then is by a number of such as medial preoptic and paraventricular nulcei.