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Pediatric Septic Arthritis (Deep Dive R14 MW)

 
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Manage episode 384062427 series 3380524
Content provided by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
* Differential
* Traumatic causes: non-accidental trauma, fracture, dislocation, sprain, strain, tendonitis, osgood schlatter
* Non-traumatic causes: septic arthritis, transient synovitis, osteomyelitis, SCFE, LCP disease, rheumatologic disease, bony tumors
* Work-up
* XRay
* Labs to evaluate for septic arthritis – CBC BMP ESR CRP
* Kocher Criteria
* Non-weight bearing
* Fever >38.5C
* ESR >40
* WBC >12
* Kocher Criteria Statistics
* 0 points: 0.2% (or 2% in prospective studies)
* 1 point: 3% (or 9% in prospective studies)
* 2 points: 40%
* 3 points:93%
* 4 points: 99%
* Septic Arthritis DX
* >50,000 WBC
* Age 0-3mo : group B strep
* Age 3mo – 12 years: Staph Aureus
* Age 12-18 years: Gonorrhea
* Sickle Cell Disease: Salmonella
  continue reading

236 episodes

Artwork
iconShare
 
Manage episode 384062427 series 3380524
Content provided by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zack Olson, MD and Michael Estephan, MD, Zack Olson, MD, and Michael Estephan or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
* Differential
* Traumatic causes: non-accidental trauma, fracture, dislocation, sprain, strain, tendonitis, osgood schlatter
* Non-traumatic causes: septic arthritis, transient synovitis, osteomyelitis, SCFE, LCP disease, rheumatologic disease, bony tumors
* Work-up
* XRay
* Labs to evaluate for septic arthritis – CBC BMP ESR CRP
* Kocher Criteria
* Non-weight bearing
* Fever >38.5C
* ESR >40
* WBC >12
* Kocher Criteria Statistics
* 0 points: 0.2% (or 2% in prospective studies)
* 1 point: 3% (or 9% in prospective studies)
* 2 points: 40%
* 3 points:93%
* 4 points: 99%
* Septic Arthritis DX
* >50,000 WBC
* Age 0-3mo : group B strep
* Age 3mo – 12 years: Staph Aureus
* Age 12-18 years: Gonorrhea
* Sickle Cell Disease: Salmonella
  continue reading

236 episodes

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