Hip pain (peds): Difference between revisions

Revision as of 06:12, 22 February 2012

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-==Work-Up==
+== Work-Up ==
-#  Xray knee-hip
+#X-ray hip, knee
-#  Consider CBC, Sed rate
+#Consider CBC, ESR
-#  Consider US (vs. CT)
+#Consider US (vs CT)
-==DDx==
+== DDx ==
-===[[Septic Arthritis (Hip)]]===
+*[[Septic Arthritis (Hip)]]
-Age - 6 mo to 8 yrs
+*[[Slipped Capital Femoral Epiphysis (SCFE)]]
+*[[Legg Calve Perthes Disease]]
+*[[Transient (Toxic) Synovitis]]
-Pres - Pain, Pseudoparalysis
+== See Also ==
+*[[Limp (Peds)]]
-Labs - ESR > 20 after 1-2 d, WBC >
+[[Category:Peds]] [[Category:Ortho]]
-Xrays - possible effusion
-===[[Slipped Capital Femoral Epiphysis (SCFE)]]===
-Age - 9 to 16 yrs
-Present - mild to severe pain, limp
-Labs - normal
-Xray - Anterior displacement of femoral neck to head
-===[[Legg Calve Perthes Disease]]===
-Age - 4 to 9 yrs
-Present - Painless Limp
-Labs - normal
-Xrays - Compression, collapse, fragmentation
-===Acute [[Transient (Toxic) Synovitis]]===
-Diagnosis of Exclusion
-Age - 3 to 8 yrs
-Present - Pain. Limp, refusal to bear weight
-Labs - nl
-Xray - normal
-==See Also==
-[[Legg Calve Perthes Disease]]
-[[Slipped Capital Femoral Epiphysis (SCFE)]]
-[[Septic Arthritis (Hip)]]
-[[Transient (Toxic) Synovitis (Hip)]]
-[[Limp (Peds)]]
-==Source==
-Resident & Staff Physician, July 02
-[[Category:Peds]]
-[[Category:Ortho]]