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Septic arthritis

USU Teaching File MUTF - MedPix

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Septic arthritis

History: 6 year-old Caucasian male complained of fevers and pain of the left knee and proximal tibia.

Findings: Plain radiographs: 1) Left knee – normal 2) Left tibia/fibula – normal 3) Left hip – normal MRI: 1) Left knee – normal 2) Coronal STIR MR image shows a left joint effusion

Ddx: 1) Septic arthritis 2) Toxic synovitis

Exam: 1) On physical examination, the child was febrile with temperature of 103.1'. He had an abnormal gait with limp, and favored his left leg which was held with knee extended. However, examination of left knee was normal with full range of motion without tenderness to palpation over anteromedial aspect of proximal tibia and without warmth, erythema, or clinical effusion. Examination of the left hip was normal. Laboratory studies were positive for ESR of 74 and CRP of 18.7.

No MeSH data available.


Coronal STIR MR image shows a left hip effusion (white crescent lateral to femoral head). The bladder is partially full.
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MPX1976_synpic15176: Coronal STIR MR image shows a left hip effusion (white crescent lateral to femoral head). The bladder is partially full.


Septic arthritis

USU Teaching File MUTF - MedPix

Coronal STIR MR image shows a left hip effusion (white crescent lateral to femoral head). The bladder is partially full.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1976&req=5

MPX1976_synpic15176: Coronal STIR MR image shows a left hip effusion (white crescent lateral to femoral head). The bladder is partially full.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Septic arthritis

History: 6 year-old Caucasian male complained of fevers and pain of the left knee and proximal tibia.

Findings: Plain radiographs: 1) Left knee – normal 2) Left tibia/fibula – normal 3) Left hip – normal MRI: 1) Left knee – normal 2) Coronal STIR MR image shows a left joint effusion

Ddx: 1) Septic arthritis 2) Toxic synovitis

Exam: 1) On physical examination, the child was febrile with temperature of 103.1'. He had an abnormal gait with limp, and favored his left leg which was held with knee extended. However, examination of left knee was normal with full range of motion without tenderness to palpation over anteromedial aspect of proximal tibia and without warmth, erythema, or clinical effusion. Examination of the left hip was normal. Laboratory studies were positive for ESR of 74 and CRP of 18.7.

No MeSH data available.