robin082006
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A 5-year-old African-American boy is brought to the office by his mother for a painful right knee, fever and chills over the last 2 days. The child has a history of pharyngitis 2 weeks ago treated with a 10-day course of penicillin G. On examination, temperature: 38.8C(102F); PR: 102/min; the right knee joint is swollen and erythematous with a decreased range of motion. Laboratory findings are significant for leukocytosis and an elevated ESR. X-ray examination of both the right hip and knee joints is normal. What is the most appropriate treatment?
A. Bed rest for 7 days with right knee joint in position of comfort
B. Repeat a ten-day course of penicillin G
C. Bed rest for 7 days & a ten-day course of penicillin G
D. Bed rest for 7 days & aspirin
E. Right knee arthrocentesis & IV nafcillin treatment
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| sarika
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E. Right knee arthrocentesis & IV nafcillin treatment
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| sarika
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i think this one is septic joint..but i am having confusion regarding the diffrence between history and sign n symptoms of septic joit vs osteomyelitis....i know may sound really stupid...
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| prathapdoctor
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i agree with sarika,i will go with arthrocentesis and IV nafcillin treatment.
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| webjeee
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can't confirm but exclude either it is rheumatic fever.
aspirin is OK for protection of the joint.
what is the answer, robin?
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| fox
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its E
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| Guptashutosh
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yeah E
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| robin082006
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yeah answer is E
this is septic arthritis
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| anjushree
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e---no confusion
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