Ortho lower limb

Question 1

List 5 red flags in a limping child

Answer 1

1. Acute onset of severe localised joint pain with fever
2. Inability to weightbear
3. Possibility of unwitnessed trauma/NAI
4. Overweight adolescent
5. Persistent limp
6. Bony pain
7. Recent throat or skin infection

QCH flowchart on limping child

Question 2

This child presents with 3 months of knee pain. What is the diagnosis? List the 2 key ED management priorities

Radiopedia

Answer 2

Slipped upper femoral epiphysis
Orthopaedic referral
Non-weightbearing (can be sitting or lying)

Question 3

Based on Kocher’s criteria, what is the probability that a child with a fever 39C, Leucs 13, ESR 25 and who is not weight bearing has septic arthritis?
A: 46%
B: 67%
C: 87%
D: 93%

Answer 3

D: 93%

Question 5

A trauma pt has a scr