Septic Joint: Difference between revisions
From Guide to YKHC Medical Practices
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Any children with a red, swollen joint with or without fever and refusal to use the limb should be evaluated in Bethel. Suspected toxic synovitis should also be evaluated here and not managed in the village. Some joints can be tapped in Bethel for evaluation; several of the family practitioners and ER providers are trained in aspiration of some joints, although hip joints and other complicated joint aspirations are usually done by ortho in Anchorage. You can always consult with other providers here or with ortho in Anchorage if you are uncertain of how to manage a patient. | Any children with a red, swollen joint with or without fever and refusal to use the limb should be evaluated in Bethel. Suspected toxic synovitis should also be evaluated here and not managed in the village. Some joints can be tapped in Bethel for evaluation; several of the family practitioners and ER providers are trained in aspiration of some joints, although hip joints and other complicated joint aspirations are usually done by ortho in Anchorage. You can always consult with other providers here or with ortho in Anchorage if you are uncertain of how to manage a patient. | ||
===Resources/References=== | |||
*Samraj, R. [https://www.pagepress.org/journals/index.php/idr/article/view/6494 Septic arthritis and hemarthroses caused by Haemophilus influenzae serotype A in children]. Infectious Disease Reports. VOL. 8 NO. 3 (2016). DOI: doi.org/10.4081/idr.2016.6494 | |||
[[Practicing Medicine in Bush Alaska—Some ABCs|Common/Unique Medical Diagnoses]] | [[Practicing Medicine in Bush Alaska—Some ABCs|Common/Unique Medical Diagnoses]] | ||
Revision as of 19:34, 24 November 2020
Any children with a red, swollen joint with or without fever and refusal to use the limb should be evaluated in Bethel. Suspected toxic synovitis should also be evaluated here and not managed in the village. Some joints can be tapped in Bethel for evaluation; several of the family practitioners and ER providers are trained in aspiration of some joints, although hip joints and other complicated joint aspirations are usually done by ortho in Anchorage. You can always consult with other providers here or with ortho in Anchorage if you are uncertain of how to manage a patient.
Resources/References
- Samraj, R. Septic arthritis and hemarthroses caused by Haemophilus influenzae serotype A in children. Infectious Disease Reports. VOL. 8 NO. 3 (2016). DOI: doi.org/10.4081/idr.2016.6494
