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Content provided by Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD, Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, and MD. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD, Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, and MD or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.
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Manage episode 384032964 series 1279218
Content provided by Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD, Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, and MD. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD, Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, and MD or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.
* Differential * Traumatic causes: non-accidental trauma, fracture, dislocation, sprain, strain, tendonitis, osgood schlatter * Non-traumatic causes: septic arthritis, transient synovitis, osteomyelitis, SCFE, LCP disease, rheumatologic disease, bony tumors * Work-up * XRay * Labs to evaluate for septic arthritis – CBC BMP ESR CRP * Kocher Criteria * Non-weight bearing * Fever >38.5C * ESR >40 * WBC >12 * Kocher Criteria Statistics * 0 points: 0.2% (or 2% in prospective studies) * 1 point: 3% (or 9% in prospective studies) * 2 points: 40% * 3 points:93% * 4 points: 99% * Septic Arthritis DX * >50,000 WBC * Age 0-3mo : group B strep * Age 3mo – 12 years: Staph Aureus * Age 12-18 years: Gonorrhea * Sickle Cell Disease: Salmonella
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547 episodes
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Manage episode 384032964 series 1279218
Content provided by Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD, Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, and MD. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD, Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, and MD or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.
* Differential * Traumatic causes: non-accidental trauma, fracture, dislocation, sprain, strain, tendonitis, osgood schlatter * Non-traumatic causes: septic arthritis, transient synovitis, osteomyelitis, SCFE, LCP disease, rheumatologic disease, bony tumors * Work-up * XRay * Labs to evaluate for septic arthritis – CBC BMP ESR CRP * Kocher Criteria * Non-weight bearing * Fever >38.5C * ESR >40 * WBC >12 * Kocher Criteria Statistics * 0 points: 0.2% (or 2% in prospective studies) * 1 point: 3% (or 9% in prospective studies) * 2 points: 40% * 3 points:93% * 4 points: 99% * Septic Arthritis DX * >50,000 WBC * Age 0-3mo : group B strep * Age 3mo – 12 years: Staph Aureus * Age 12-18 years: Gonorrhea * Sickle Cell Disease: Salmonella
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Similar to EM Clerkship
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