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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 4/Question#14 (reveal difficulty score)
A previously healthy 5-year-old boy is ...
Septic arthritis 🔍 / 📺 / 🌳 / 📖
tags: msk DDX

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  • Child with refusal to bear weight, fever, leukocytosis and increased ESR, consistent with septic arthritis
  • Septic arthritis: Leads to fever, ill-appearance, leukocytosis, failure to bear weight, synovial fluid WBC > 50,000 with positive gram stain and culture, treated with draining joint space + antibiotics
  • Transient synovitis: Patient will be afebrile, well-appearing between 2-6 years old, often had a previous viral URI, ability to bear weight, normal ESR, WBC count and synovial fluid analysis, condition is self-limited

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