Hip pain (peds): Difference between revisions

Revision as of 19:36, 7 June 2011

Age - 6 mo to 8 yrs

Pres - Pain, Pseudoparalysis

Labs - ESR > 20 after 1-2 d, WBC >

Xrays - possible effusion

Age - 9 to 16 yrs

Present - mild to severe pain, limp

Labs - normal

Xray - Anterior displacement of femoral neck to head

Age - 4 to 9 yrs

Present - Painless Limp

Labs - normal

Xrays - Compression, collapse, fragmentation

Diagnosis of Exclusion

Age - 3 to 8 yrs

Present - Pain. Limp, refusal to bear weight

Labs - nl

Xray - normal

Resident & Staff Physician, July 02

Authors:

@@ Line 1: / Line 1: @@
 ==Work-Up==
+#  Xray knee-hip
+#  Consider CBC, Sed rate
-)  Xray knee-hip
+#  Consider US (vs. CT)
-)  Consider CBC, Sed rate
-)  Consider US (vs. CT)
 ==DDx==
+===SEPTIC ARTHRITIS===
-SEPTIC ARTHRITIS
 Age - 6 mo to 8 yrs
@@ Line 23: / Line 14: @@
 Xrays - possible effusion
+===SLIPPED CAPITAL FEMORAL EPIPHYSIS (SCFE)===
-SLIPPED CAPITAL FEMORAL EPIPHYSIS (SCFE)
 Age - 9 to 16 yrs
@@ Line 35: / Line 23: @@
 Xray - Anterior displacement of femoral neck to head
+===LEGG-CALVE-PERTHES DISEASE===
-LEGG-CALVE-PERTHES DISEASE
 Age - 4 to 9 yrs
@@ Line 47: / Line 32: @@
 Xrays - Compression, collapse, fragmentation
+===ACUTE TRANSIENT SYNOVITIS===
-ACUTE TRANSIENT SYNOVITIS
 Diagnosis of Exclusion
-- Age 3 to 8 yrs
+Age - 3 to 8 yrs
-- Present - Pain. Limp, refusal to bear weight
-- Labs nl
+Present - Pain. Limp, refusal to bear weight
-- Xray normal
+Labs - nl
+Xray - normal
 ==See Also==
 Peds: Acute Transient Synovitis
@@ Line 73: / Line 51: @@
 Peds: Septic Arthritis
 ==Source==
 Resident & Staff Physician, July 02
 [[Category:Peds]]