Limp (peds) - Revision history

Rossdonaldson1: /* Differential Diagnosis */

2025-11-05T22:44:36Z

Differential Diagnosis

@@ Línea 10: / Línea 10: @@
 ==Differential Diagnosis==
 {{Pediatric hip DDX}}
 ==Evaluation==

2025-11-05T19:35:47Z

Workup

← Revisión anterior		Revisión del 19:35 5 nov 2025
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	===Workup===		===Workup===
	*X-ray hip (AP & bilateral frog-leg view), femur, knee		*X-ray hip (AP & bilateral frog-leg view), femur, knee
	*Consider CBC, ESR, total CK		*Consider CBC, ESR, CRP, total CK
	*Blood culture if febrile.<ref>https://www.emrap.org/episode/ema2023november/abstract16</ref>		*Blood culture if febrile.<ref>https://www.emrap.org/episode/ema2023november/abstract16</ref>
	*Consider:		*Consider:

2025-02-26T20:27:18Z

Background

← Revisión anterior		Revisión del 20:27 26 feb 2025
Línea 1:		Línea 1:
	==Background==		==Background==
			{{Hip anatomy background images}}
	*It can be difficult to differentiate hip from knee pain in children		*It can be difficult to differentiate hip from knee pain in children
	**Knee pain can be referred pain from the hip		**Knee pain can be referred pain from the hip

2023-11-27T16:24:46Z

Workup

← Revisión anterior		Revisión del 16:24 27 nov 2023
Línea 31:		Línea 31:
	*X-ray hip (AP & bilateral frog-leg view), femur, knee		*X-ray hip (AP & bilateral frog-leg view), femur, knee
	*Consider CBC, ESR, total CK		*Consider CBC, ESR, total CK
			*Blood culture if febrile.<ref>https://www.emrap.org/episode/ema2023november/abstract16</ref>
	*Consider:		*Consider:
	**[[Ultrasound]] to evaluate for effusion		**[[Ultrasound]] to evaluate for effusion

2019-10-05T22:55:04Z

Differential Diagnosis

2019-10-05T22:54:35Z

← Revisión anterior		Revisión del 22:54 5 oct 2019
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	==Clinical Features==		==Clinical Features==
	*Pediatric patient with a reported limp with ambulation		*Pediatric patient with a reported limp with ambulation
	*May additionally have leg, hip, and/or knee tenderness to palpation		*May additionally have leg, [[hip pain (peds)\|hip]], and/or knee tenderness to palpation

	==Differential Diagnosis==		==Differential Diagnosis==
Línea 12:		Línea 12:
	===Other causes of limping===		===Other causes of limping===
	*Developmental dysplasia		*Developmental dysplasia
	*Fracture		*[[Fracture]]
	**[[Toddler's fracture]]		**[[Toddler's fracture]]
	**[[Tillaux fracture]], adolescent		**[[Tillaux fracture]], adolescent
	*Neoplasm:		*Neoplasm:
	**Leukemia		**[[leukemia (peds)\|Leukemia]]
	**Ewings		**Ewings
	**Osteogenic sarcoma		**Osteogenic sarcoma
	**Metastatic neuroblastoma		**Metastatic [[neuroblastoma (peds)\|neuroblastoma]]
	*Osteomyelitis		*[[Osteomyelitis]]
	*Myositis		*[[Myositis]]
	*Other:		*Other:
	**Appendicitis		**[[Appendicitis]]
	**Meningitis		**[[Meningitis]]
	**~~Epidural~~ [[abscess]] (spine)		**[[Epidural abscess (spine)]]

	==Evaluation==		==Evaluation==

2019-10-01T01:00:36Z

Background

← Revisión anterior		Revisión del 01:00 1 oct 2019
Línea 1:		Línea 1:
	==Background==		==Background==
	*It can be difficult to differentiate hip from knee pain in children		*It can be difficult to differentiate hip from knee pain in children
	*Knee pain can be referred pain from the hip		**Knee pain can be referred pain from the hip

	==Clinical Features==		==Clinical Features==

2019-09-30T18:46:04Z

Background

← Revisión anterior		Revisión del 18:46 30 sep 2019
Línea 1:		Línea 1:
	==Background==		==Background==
	*It can be difficult to differentiate hip from knee pain in children		*It can be difficult to differentiate hip from knee pain in children
			*Knee pain can be referred pain from the hip

	==Clinical Features==		==Clinical Features==

2017-11-21T17:37:14Z

Workup

← Revisión anterior		Revisión del 17:37 21 nov 2017
Línea 28:		Línea 28:
	==Evaluation==		==Evaluation==
	===Workup===		===Workup===
	*X-ray hip (~~consider~~ bilateral frog-leg view), femur, knee		*X-ray hip (AP & bilateral frog-leg view), femur, knee
	*Consider CBC, ESR, total CK		*Consider CBC, ESR, total CK
	*Consider ~~hip~~ [[~~ultrasound~~]] ~~(vs~~ CT)		*Consider:
			**[[Ultrasound]] to evaluate for effusion
			**CT to evaluate for abscess

	{{Kocher criteria}}		{{Kocher criteria}}

2017-11-21T17:33:39Z

Evaluation

← Revisión anterior		Revisión del 17:33 21 nov 2017
Línea 27:		Línea 27:

	==Evaluation==		==Evaluation==
			===Workup===
	*X-ray hip (consider bilateral frog-leg view), femur, knee		*X-ray hip (consider bilateral frog-leg view), femur, knee
	*Consider CBC, ESR, total CK		*Consider CBC, ESR, total CK