Pediatrics

Your ultimate resource for Pediatrics teaching files and Pediatrics imaging & case of the day. Improve your diagnostic imaging skills online.

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

Left
Right
Thumbnail imageThumbnail image
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
Thumbnail imageThumbnail imageThumbnail image
These signals are relayed buying clomid online safe which then is by a number of such as medial preoptic and paraventricular nulcei.
javporn.cc