Pediatric Infections
A 3-year-old boy is brought to the emergency department with a 2-day history of right hip pain and refusal to walk. He has fever of 38.9°C. On examination, he holds the hip in flexion, abduction, and external rotation and cries with any attempted motion. Laboratory studies show WBC 15,000/μL, ESR 55 mm/hr, and CRP 85 mg/L. Regarding pediatric hip septic arthritis:
Mark each as TRUE or FALSE
The Kocher criteria predict probability of septic arthritis: fever greater than 38.5°C, non-weight-b...
The hip is the most common joint affected by septic arthritis in children; Staphylococcus aureus is ...
Septic arthritis can be safely observed without aspiration if only one Kocher criterion is present; ...
Diagnosis requires joint aspiration: fluid analysis shows WBC greater than 50,000/μL (often greater ...
Treatment is urgent surgical drainage (arthroscopy or open arthrotomy) combined with IV antibiotics;...
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Click T (True) or F (False) for each option