* 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

* 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

* Differential

* Traumatic causes:&nbsp;non-accidental trauma,&nbsp;fracture, dislocation, sprain, strain, tendonitis, osgood schlatter



* Non-traumatic causes:&nbsp;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 &gt;38.5C



* ESR &gt;40



* WBC &gt;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

* &gt;50,000 WBC

* Age 0-3mo : group B strep



* Age 3mo – 12 years: Staph Aureus



* Age 12-18 years: Gonorrhea



* Sickle Cell Disease: Salmonella

Deep Dive MW R14

The purpose of this podcast is to help medical students crush their emergency medicine clerkship and get top 1/3 on their SLOE. The content is organized in an approach to format and covers different chief complaints, critical diagnoses, and skills important for your clerkship.

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Deep Dive MW R14

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