Septic arthritis in child - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
USMLE Articles
Go Back   USMLE Forums > USMLE Step 3 Forum

USMLE Step 3 Forum USMLE Step 3 Discussion Forum: Let's talk about anything related to USMLE Step 3 exam

Thread Tools Search this Thread Display Modes
Old 07-03-2011
USMLE Forums Scout
Steps History: 1+CK+CS
Posts: 63
Threads: 51
Thanked 74 Times in 26 Posts
Reputation: 84
Kids Septic arthritis in child

Septic arthritis: just like osteomyelitis in a child, a septic joint is usually hematogenous in origin and frequently follows a URI. The m.c are staph and strep. It is characterized by severe pain, leukocytosis and elevated ESR. The affected limb is externally rotated (this allows for maximal pus accumulation).
DxàUS guided aspiration of the synovial fluid should be performed immediately. The x-ray is often normal.
  • Empiric antibiotics based on the gram stain results and child’s age should be administered immediately.
  • infants a combo of nafcillin and a 3rd generation cephalosporin
  • children over 5 years nafcillin alone is reasonable.
  • This is a true surgical emergency and needs immediate drainage. A delay of even 4 - 6 hours can lead to avascular necrosis of the femoral head.
Reply With Quote Quick reply to this message
The above post was thanked by:
MerryM (01-29-2016)



Quick Reply

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Please enter a password for your user account. Note that passwords are case-sensitive.
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Where you live. Leave blank if you don't want to tell.


Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Similar Threads
Thread Thread Starter Forum Replies Last Post
asymptomatic MVP and rheumatoid arthritis? kemoo USMLE Step 2 CK Forum 4 07-03-2011 06:34 AM
in septic shock what happen to cardiac contractility ? kemoo USMLE Step 2 CK Forum 5 06-22-2011 01:59 PM
Should we give aspirin to a 16-year old child with RF-related arthritis? Haisook USMLE Step 2 CK Forum 10 03-18-2011 12:21 PM
Patient with rheumatoid arthritis? sam01 USMLE Step 1 Forum 2 05-07-2010 09:57 AM
Anti-CCP in Rheumatoid Arthritis Tichaona USMLE Step 2 CK Forum 2 02-16-2010 07:33 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)