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* Ck Free150 - Musculo-
 #841834  
  dream250 - 06/17/17 18:53
 
  94. A previously healthy 14-year-old girl is brought to the physician because of a 2-day history of fever and pain and swelling of the right knee. She remembers injuring the knee while playing soccer last week, but she was able to finish the game. She has no history of rash or joint pain. Her sister has inflammatory bowel disease. The patient's temperature is 39C (102.2F), blood pressure is 110/80 mm Hg, pulse is 95/min, and respirations are 20/min. Examination of the right knee shows swelling, tenderness, warmth, and erythema; range of motion is limited. Which of the following is the most appropriate next step in management?

(A) X-ray of the right knee
(B) Gastrointestinal series with small-bowel follow-through
(C) Nuclear scan of the right knee
(D) MRI of the right knee
(E) Antibiotic therapy
(F) Arthrocentesis

------------

So she injured her knee and has infection. I was thinking of getting X-ray first to rule out fractures.
 
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* Re:Ck Free150 - Musculo-
#3341270
  cardio69 - 06/17/17 19:08
 
  "She remembers injuring the knee while playing soccer last week, but she was able to finish the game" You think if she had fracture she able to finish the game?:)
"Examination of the right knee shows swelling, tenderness, warmth, and erythema; range of motion is limited" -> Tap the joint 1st.
 
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* Re:Ck Free150 - Musculo-
#3341294
  dream250 - 06/18/17 10:28
 
  So she basically had skin infection that is causing septic arthritis?  
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* Re:Ck Free150 - Musculo-
#3341353
  cardio69 - 06/18/17 20:33
 
  I just explain it well. Read it again.  
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* Re:Ck Free150 - Musculo-
#3341359
  dream250 - 06/18/17 23:03
 
  Thank you!  
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