Version June 2024
| Historical features | Causes of limp |
| Fever | Osteomyelitis, septic arthritis, systemic JIA, malignancy (eg, leukemia, metastatic neuroblastoma), or acute rheumatic fever |
| History of trauma | Fracture, superficial or deep (muscle) contusion, muscle strain, or ligament sprain |
| Activity increases pain | SCFE, apophysitis, osteochondrosis, joint hypermobility syndrome, osteochondritis dissecans, or stress fracture |
| Activity decreases pain | Oligoarticular JIA, complex regional pain syndrome |
| Cyclic pain pattern, nocturnal | Malignancy (eg, leukemia, Ewing sarcoma, or osteogenic sarcoma) or benign bone tumor (eg, osteoid osteoma) |
| Abdominal pain | Immunoglobulin A vasculitis (Henoch-Schönlein purpura), appendicitis with periappendiceal abscess, ovarian torsion, pelvic inflammatory disease, or psoas abscess |
| Back pain | Discitis, vertebral osteomyelitis, spondylolysis, spondylolisthesis, spinal epidural abscess, or herniated disc |
| Migratory arthralgia | Acute rheumatic fever, gonococcal arthritis |
| Morning stiffness | Oligoarticular JIA |
| Rash | Immunoglobulin A vasculitis (Henoch-Schönlein purpura), serum sickness and serum sickness-like reactions, SLE, or gonococcal arthritis |
| Current viral illness (especially influenza) | Benign acute myositis |
| Recent upper respiratory viral illness | Transient synovitis |
| Recent antibiotic use | Serum sickness and serum sickness-like reactions |
| Recent urogenital or gastrointestinal bacterial infection | Reactive arthritis |
| Recent intramuscular injection vaccinations | Sterile abscess, muscle inflammation |
| New or poorly fitting shoes | Pressure necrosis or blisters |
| Family history of connective tissue disorders | SLE, JIA |
| Endocrinopathies (hypothyroidism, panhypopituitarism, and/or hypogonadism) | SCFE |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟
