AAFP Board Review - MSK
AAFP Board Review - MSK A 3-year-old female is brought to your office with a 3-hour history of skin lesions that are prominent, warm, papular, and serpiginous (see Figure 3). Which one of the following is the most likely cause of these lesions? Figure 3 (check one) A. Heredity B. Physical abuse C. Infection D. A topical agent E. An oral medication E. oral medication - acute uticaria - commonly from parenteral drugs, food, and, less frequently, infections. - Topical agents and physical abuse are unlikely to present in this manner, and hereditary angioedema is more a systemic illness than a skin disorder. A 3-year-old male is carried into the office by his mother. Yesterday evening he began complaining of pain around his right hip. Today he has a temperature of 37.6°C (99.7°F), cries when bearing weight on his right leg, and will not allow the leg to be moved in any direction. A radiograph of the hip is normal. Which one of the following would be most appropriate at this time? (check one) A. A CBC and an erythrocyte sedimentation rate B. A serum antinuclear antibody level C. Ultrasonography of the hip D. MRI of the hip E. In-office aspiration of the hip A. CBC & ESR - transient synovitis or septic arthritis of the hip. - septic arthritis: 1. fever over 38.7°C (101.7°F) 2. refuses to bear weight on the leg 3. WBC
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