Emergency diagnoses | Typical clinical features | Investigations |
Septic arthritis or osteomyelitis | Hectic, spiking fever; ill appearance; rash; rapid-onset monoarthritis; pseudo-paralysis; pinpoint bony tenderness | Blood cultures, arthrocentesis for microscopy and culture, blood count, imaging of affected bone/joint (plain radiograph, CT scan) |
Kawasaki disease | Hectic fever, irritable infant, sentinel cervical lymph node, conjunctivitis, oral mucositis, peripheral arthralgia/edema, rash, carditis, peeling fingertips | Echocardiography, exclude sepsis, blood count and acute phase proteins |
Neoplasia | Irritability, pallor, unexplained bruising, bone pain (especially nocturnal) | Blood count, bone marrow examination, abdominal ultrasound, imaging of affected area |
Nonaccidental injury | Disparities between history given and features on examination, irritability, pallor, unexplained bruising and other injuries, bone pain | Blood count, bleeding and clotting studies, skeletal survey, refer to child protection procedures for your hospital |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟