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Old 08-29-2013
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Rheumatology/Orthopedics Pediatric septic arthritis; Surgery or IV Antibiotics

What's the best initial management?

Immediate surgical drainage or IV empiric antibiotics?
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Old 08-30-2013
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According to USMLE World .......surgical drainage along with IV antibiotics.
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Old 08-30-2013
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acc to kln surgery notes,under ga the joint is aspirated to confirm the dx and then surgical drainage...its a pediatric emergency!!
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Old 08-31-2013
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According to Uworld:

1.) Arthrocentesis (find out what u are dealing with)
+100,000 WBC
+90% Neutrophils
-purlent
-these labs are diagnostic for septic arthritis
2.) Culture bugs
3.) Empiric Tx
4.) Specific treatment ie. emergency surgical drain, specific Antibiotic for bug found.

*You can not give empiric antibiotics before arthocentesis as it may affect the results when you try to culture the specific bug.
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Infectious-Diseases, Orthopedics-, Pediatrics-

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