Clinical Case 1
A 5-year-old girl represents to your emergency department. She was seen last week for a limp and diagnosed with transient synovitis. She has continued to complain of knee pain and this morning seems more unwell with a fever and lethargy.
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Question 1 of 2
1. Question
What is your initial approach to management?
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Question 2 of 2
2. Question
An hour later the patient’s blood results are returned:
Haemoglobin (g/L) 70 (115-165) Mean Cell Volume (fl) 105 (80-100) Platelets (109/L) 60 (150-400) White cell count (109/L) 2 (4-11) CRP mg/L 20 (0-5) In addition to septic arthritis or osteomyelitis, what other diagnoses should you consider at this point and what further blood tests are required?
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